Individual
ELLISA ESTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1412 SW 43RD ST STE 140, RENTON, WA 98057-4803
(503) 616-8330
Mailing address
10622 SE 252ND ST UNIT G309, KENT, WA 98030-9058
(503) 616-8330
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61475162
WA
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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