Individual
MARY JO WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1616 E 67TH ST, TACOMA, WA 98404-4254
(253) 474-1471
Mailing address
1616 E 67TH ST, TACOMA, WA 98404-4254
(253) 474-1471
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
00080398
WA
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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