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Individual

CAROLYNE NDERITU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10202 PACIFIC AVE S STE 210, TACOMA, WA 98444-6573
(253) 228-2737
Mailing address
PO BOX 44181, TACOMA, WA 98448-0181
(253) 228-2737

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
201810289LPN
OR
164W00000X
Licensed Practical Nurse
Primary
LP60500714
WA

Other

Enumeration date
01/13/2019
Last updated
01/13/2019
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