Individual
MRS. MARY JO PATINO COFREROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
225 176TH ST S, SPANAWAY, WA 98387-9201
(253) 507-3594
Mailing address
225 176TH ST S, SPANAWAY, WA 98387-9201
(253) 507-3594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60036901
WA
363L00000X
Nurse Practitioner
Primary
AP60737794
WA
Other
Enumeration date
08/29/2014
Last updated
08/13/2024
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