Individual
KIMBERLY DAJANNA HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 NE CAMPUS PKWY, SEATTLE, WA 98195-0003
(206) 543-2100
Mailing address
10018 8TH AVE NE, SEATTLE, WA 98125-7406
(410) 564-6953
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61050114
WA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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