Individual
DAVONNE HALSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1875 OVERVIEW DR NE, TACOMA, WA 98422-4245
(218) 251-5629
Mailing address
1875 OVERVIEW DRIVE N.E., TACOMA, WA 98422
(218) 251-5629
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 60330676
WA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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