Individual
KANDACE PEARSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7820 25TH AVE E, TACOMA, WA 98404-4112
(253) 678-2745
Mailing address
7820 25TH AVE E, TACOMA, WA 98404-4112
(253) 678-2745
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60184623
WA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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