Facts
- Status
- A
- Credential
- LPN
- Type
- Individual
- Enumeration date
- 2017-11-08
- Last updated
- 2017-11-08
Specialties
Licenses
- License WA
- LP60293106
Location
- Practice location
- 226 SEMANSKI ST
- City
- ENUMCLAW WA
- Postal code
- 980222009
- Phone
- 360-802-7125
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.