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TRIFENIA LAGUIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
774 N 204TH ST, SHORELINE, WA 98133-3113
(206) 542-3508
(206) 542-5145
Mailing address
774 N 204TH ST, SHORELINE, WA 98133-3113
(206) 542-3508
(206) 542-5145

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10022687
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157267
WA
Enumeration date
11/18/2014
Last updated
11/18/2014
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