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Individual

DESTINY J KRUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4204 W ARLINGTON ST, APT A, YAKIMA, WA 98908-3354
(206) 992-2715
Mailing address
4204 W ARLINGTON ST, APT A, YAKIMA, WA 98908-3354
(206) 992-2715

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CG60146863
WA
376K00000X
Nurse's Aide
Primary
NA60041076
WA

Other

Enumeration date
07/29/2008
Last updated
12/02/2011
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