Individual
MARY SANTOVITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9113 61ST AVENUE CT E, PUYALLUP, WA 98371-7117
(253) 445-5209
Mailing address
9113 61ST AVENUE CT E, PUYALLUP, WA 98371-7117
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
00090082
WA
163WM0705X
Medical-Surgical Registered Nurse
Primary
00090082
WA
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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