Individual
KYLAR RONELLE MEHALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
9040 JACKSON AVE ATTN MCHJ-CLQ-C, TACOMA, WA 98431-0001
(253) 968-3869
Mailing address
11822 78TH AVE E, PUYALLUP, WA 98373-4870
(253) 380-4920
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60683896
WA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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