Individual
DIANE JEAN LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4014 S 270TH ST, KENT, WA 98032
(253) 945-4000
(253) 945-4040
Mailing address
33330 8TH AVE S, FEDERAL WAY, WA 98003-6325
(253) 945-2086
(253) 945-2177
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00047463
WA
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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