Individual
ELLA MAE CALICDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4921 32ND ST NE, TACOMA, WA 98422-2910
(206) 376-8646
Mailing address
4921 32ND ST NE, TACOMA, WA 98422-2910
(206) 376-8646
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
60906418
WA
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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