Individual
MAKENNA GILLEAN O'MEARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN 61316341
Contact information
Practice address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Mailing address
637 WHITWORTH LN S, RENTON, WA 98057-2414
(206) 612-3564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61316341
WA
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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