Individual
MISS LOUIS ESMERALDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
19805 16TH AVE E, SPANAWAY, WA 98387-1814
(253) 365-2226
Mailing address
19805 16TH AVE E, SPANAWAY, WA 98387-1814
(253) 365-2226
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00057886
WA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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