Individual
SAVORN SEAN BOLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5750
Mailing address
17705 21ST AVENUE CT E, SPANAWAY, WA 98387-7995
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60746466
WA
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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