Individual
LEONIDA JUANA MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
516 176TH ST E, SPANAWAY, WA 98387-8335
(253) 683-6000
Mailing address
516 176TH ST E, SPANAWAY, WA 98387-8335
(253) 683-6000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00174959
WA
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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