Individual
WILLIAM W WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
610 YAKIMA AVE, TACOMA, WA 98405-4851
(253) 396-5246
Mailing address
610 YAKIMA AVE, TACOMA, WA 98405-4851
(253) 396-5246
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
LP00044255
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP00044255
WA BOARD OF NURSING
WA
Enumeration date
04/05/2021
Last updated
04/05/2021
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