Individual
MS. KERA SHVONNE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
44106 244TH AVE SE, ENUMCLAW, WA 98022-9442
(253) 334-9132
Mailing address
44106 244TH AVE SE, ENUMCLAW, WA 98022-9442
(253) 334-9132
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
60038552
WA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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