Individual
DESIRAE TARGARYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7224 PACIFIC HWY E, MILTON, WA 98354-9654
(310) 623-9366
Mailing address
1379 BELLEVUE WAY NE APT A, BELLEVUE, WA 98004-3694
(310) 623-9366
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
61026712
WA
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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