Individual
KAELAH MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 BROADWAY, TACOMA, WA 98402-3400
(253) 301-6400
Mailing address
PO BOX 5200, MS: 1313-2-HH, TACOMA, WA 98415-0200
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN60077147
WA
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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