Individual
MS. MEKEISHA MONIQUE CAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-2252
(253) 968-3278
Mailing address
22911 128TH AVE E, GRAHAM, WA 98338-7826
(910) 922-4572
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60454196
WA
Other
Enumeration date
10/03/2006
Last updated
05/22/2014
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