Individual
MARY ANN KALLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
222 WALL ST STE 100, SEATTLE, WA 98121-1431
(206) 441-3043
Mailing address
222 WALL ST STE 100, SEATTLE, WA 98121-1431
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.LP.60600607
WA
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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