| NPI | 1194902973 |
|---|---|
| Doing Business As | LINDA DECAELO |
| Entity Type | Organization |
| Authorized Contact | KATHY ANN OSTRANDER Office Manager 253-759-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30007103) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |