Individual
MS. KATHY MARIE HAVILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1010 S. 336TH ST, SUPPLEMENTAL HEALTH CARE, FEDERAL WAY, WA 98003
(253) 835-5769
Mailing address
PO BOX 31303, SEATTLE, WA 98103
(206) 547-9290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60237204
WA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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