Individual
BRENDA ARLEEN CARLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4515 MARTIN LUTHER KING JR WAY S, STE 100, SEATTLE, WA 98108-2182
(206) 320-5325
Mailing address
4515 MARTIN LUTHER KING JR WAY S, STE 100, SEATTLE, WA 98108-2182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 00110411
WA
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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