Organization
KATHERINE J. MIKITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE J. MIKITA GNP/ARNP (DIRECTOR OF CLINICAL SERVICES)
(253) 752-6621
Entity
Organization
Contact information
Practice address
5340 N BRISTOL ST, TACOMA, WA 98407-2204
(253) 752-6621
(253) 756-7179
Mailing address
5340 N BRISTOL ST, TACOMA, WA 98407-2204
(253) 752-6621
(253) 756-7179
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
452
WA
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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