Individual
LACEY DEANN BLEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6600
Mailing address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61263016
WA
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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