Individual
NIC CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2716 177TH ST NW, ARLINGTON, WA 98223-8054
(425) 750-0666
Mailing address
2716 177TH ST NW, ARLINGTON, WA 98223-8054
(425) 750-0666
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC 60130060
WA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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