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Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
22502 NE 139TH ST, BRUSH PRAIRIE, WA 98606-9409
(360) 784-0914
(360) 828-8337
Mailing address
22502 NE 139TH ST, BRUSH PRAIRIE, WA 98606-9409
(360) 784-0914
(360) 828-8337

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60158003
WA

Other

Enumeration date
10/13/2014
Last updated
01/23/2023
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