TAVISHA NAKIA RUSSELL

LAKEWOOD, WA
NPI1114337003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: WA  NC60272176)
Enumeration Date2014-05-01
Last Update Date2014-05-01
Business Address
-- TAVISHA NAKIA RUSSELL CNA
9600 VETERANS DRIVE
LAKEWOOD, WA 98493
Phone number: 253-582-8440
Mailing Address
-- TAVISHA NAKIA RUSSELL CNA
9916 24TH AVENUE CT S
TACOMA, WA 98444-7743
Phone number: 253-217-1763
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