Individual
PURITY WAKABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9001 RIDGEVIEW CIR W, UNIVERSITY PLACE, WA 98466-1334
(253) 473-8762
Mailing address
9001 RIDGEVIEW CIR W, UNIVERSITY PLACE, WA 98466-1334
(253) 473-8762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60222072
WA
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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