Individual
MS. RENEE VALERIE MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6601
Mailing address
912 S 73RD ST, TACOMA, WA 98408-4308
(253) 886-4555
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
33063
CO
164W00000X
Licensed Practical Nurse
Primary
LP00047980
WA
Other
Enumeration date
08/08/2010
Last updated
02/19/2020
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