Individual
JOHN ROBERT TERRANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(202) 206-3230
Mailing address
1301 1ST AVE APT 1003, SEATTLE, WA 98101-2139
(401) 447-0775
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60909291
WA
Other
Enumeration date
01/28/2019
Last updated
07/08/2021
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