Individual
KATE NICOLINA DETCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25742 104TH AVE SE, KENT, WA 98030-7691
(203) 240-2993
Mailing address
25742 104TH AVE SE, KENT, WA 98030-7691
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN60866972
WA
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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