Individual
CHRISTINE MADICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 YAKIMA AVE, TACOMA, WA 98405-4851
(253) 396-5246
Mailing address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5800
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00030236
WA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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