Individual
COURTNEY ELISE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10507 156TH ST E STE 112, PUYALLUP, WA 98374-9361
(253) 477-5053
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60598486
WA
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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