Individual
ROSE N MBOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12910 81ST AVENUE CT E, PUYALLUP, WA 98373-7721
(206) 436-9751
Mailing address
12910 81ST AVENUE CT E, PUYALLUP, WA 98373-7721
(206) 436-9751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61160054
WA
Other
Enumeration date
11/22/2024
Last updated
12/09/2024
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