Individual
CORRIN M PONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
14310 SE 12TH ST, BELLEVUE, WA 98007-5520
(425) 456-5300
Mailing address
6915 128TH PL SE, BELLEVUE, WA 98006-4062
(425) 746-2783
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00123359
WA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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