Individual
MRS. KATHERINE MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1313 BROADWAY, TACOMA, WA 98402-3400
(253) 301-6400
Mailing address
716 140TH ST E, TACOMA, WA 98445-2761
(206) 948-6433
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN60201392
WA
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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