Individual
PAMELA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
759 S 40TH ST APT 3, TACOMA, WA 98418-4904
(253) 988-9989
Mailing address
759 S 40TH ST APT 3, TACOMA, WA 98418-4904
(253) 988-9989
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
40410
WA
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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