Individual
KIM R CLIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(360) 486-9774
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1100
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0171955
CO
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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