Individual
KELLI WAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
21404 35TH AVE SE, BOTHELL, WA 98021-7832
(425) 408-6806
(425) 408-6802
Mailing address
21404 35TH AVE SE, BOTHELL, WA 98021-7832
(425) 408-6806
(425) 408-6802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00087488
WA
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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