Individual
ASHLEY CALLANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 798-4359
Mailing address
3629 S D ST, TACOMA, WA 98418-6813
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60414991
WA
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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