Individual
TONISHA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 75TH ST SW STE 210, EVERETT, WA 98203-6293
(425) 261-4780
(425) 261-4720
Mailing address
125 BOREN AVE S UNIT 323, SEATTLE, WA 98144-2788
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
61274588
WA
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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