KELLAN MATTHEW BURDINE

TACOMA, WA
NPI1407458110
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TX  348966)
Enumeration Date2020-11-09
Last Update Date2020-11-09
Business Address
KELLAN MATTHEW BURDINE
9040 JACKSON AVE, ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-1100
Phone number: 520-275-3851
Mailing Address
KELLAN MATTHEW BURDINE
9040 JACKSON AVE, ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-1100
Phone number:
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