DEQA ALI
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1457191462- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1701 18TH AVE S, SEATTLE, WA, 981444317
- Phone
- (253) 833-7444
Specialties & Taxonomies
Licensed Practical Nurse
Primary License: WA #LPN.LP.60462598