Individual
AUDREY WARMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5313 110TH ST SW, TACOMA, WA 98499-3529
(805) 858-8731
Mailing address
3210 240TH STREET CT E, SPANAWAY, WA 98387-7068
(805) 858-8731
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60869342
WA
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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