Individual
HAZEL ROSE RUSTE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
610 S MERIDIAN, PUYALLUP, WA 98371-5908
(253) 881-1844
(253) 881-1925
Mailing address
610 S MERIDIAN, PUYALLUP, WA 98371-5908
(253) 881-1844
(253) 881-1925
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61501372
WA
Other
Enumeration date
11/05/2019
Last updated
06/04/2024
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