Individual
MRS. GRACE D TALIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14632 SE 246TH PL, KENT, WA 98042-3342
(253) 638-1724
Mailing address
14632 SE 246TH PL, KENT, WA 98042-3342
(253) 638-1724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00109770
WA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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