Individual
CAERISSA G FAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
10055 166TH AVE NE, REDMOND, WA 98052-3010
(425) 936-2440
Mailing address
9736 NE 119TH WAY APT E316, KIRKLAND, WA 98034-7060
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60691103
WA
Other
Enumeration date
09/19/2017
Last updated
03/17/2018
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