KELLY MARIE AA
Individual Provider (NPI-1)
Active
Licensed Practical Nurse
Provider Information
- NPI Number
1902673213- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 33330 8TH AVE S, FEDERAL WAY, WA, 980036325
- Phone
- (253) 945-2000
Specialties & Taxonomies
Licensed Practical Nurse
Primary License: WA #61066626
All Addresses
MAILING
33330 8TH AVE S
FEDERAL WAY, WA, 980036325