Individual
SARAH JEAN REISENAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9332 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-1569
(253) 459-6065
Mailing address
9332 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-1569
(253) 459-6065
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60301001
WA
Other
Enumeration date
09/11/2012
Last updated
06/17/2013
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