Individual
MARY TERESA NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33480 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 285-7101
Mailing address
1827 192ND STREET CT E, SPANAWAY, WA 98387-3421
(253) 350-6129
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN60577157
WA
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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