Mrs. TESHAMA NICHOLE BROCK R.N.
Individual Provider (NPI-1)
Active
Registered Nurse, Home Health
Provider Information
- NPI Number
1497071658- Provider Type
- Individual Provider (NPI-1)
- Credentials
- R.N.
- Status
- Active
Contact & Location
- Address
- 1313 BROADWAY, TACOMA, WA, 984023400
- Phone
- (253) 209-4591
Specialties & Taxonomies
Registered Nurse
License: OR #200942602RN
Registered Nurse
License: FL #RN 9291520
Registered Nurse, Home Health
Primary License: WA #RN60174365