Individual
MRS. KYE NISHIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5035 S ORCHARD ST APT A, UNIVERSITY PLACE, WA 98467-3669
(253) 241-1020
Mailing address
PO BOX 1200, MILTON, WA 98354-1200
(253) 241-1020
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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