Individual
DENISE LOUISE CARVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8001
Mailing address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00108760
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WDL5Z218213B
DRIVER'S LICENSE
WA
Enumeration date
09/20/2022
Last updated
09/20/2022
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