KIMBERLY RAE GUSTAFSON

TACOMA, WA
NPI1437102696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy363LN0000X Nurse Practitioner Neonatal
(Licence: WA  AP30004020)
Enumeration Date2006-05-18
Last Update Date2007-07-08
Business Address
MS. KIMBERLY RAE GUSTAFSON MN, NNP, ARNP
315 MLK JR. WAY MS ZO-NTL
TACOMA, WA 98405
Phone number: 253-403-1019
Mailing Address
MS. KIMBERLY RAE GUSTAFSON MN, NNP, ARNP
3800 BRIDGEPORT WAY W PMB #532
UNIVERSITY PLACE, WA 98466-4495
Phone number: 253-403-1019
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