Individual
MRS. BLAIR WATERHOUSE WILSON MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-1110
Mailing address
18252 24TH AVE NE, SHORELINE, WA 98155-3926
(206) 617-5981
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60127539
WA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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