RONA BALICAS DIVINAGRACIA

PORT ORCHARD, WA
NPI1932854213
Former NameRONA S BALICAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: WA  AP61575192)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NV  RN85093)
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NV  867980)
Enumeration Date2022-02-15
Last Update Date2024-10-15
Business Address
RONA BALICAS DIVINAGRACIA APRN, PMHNP-BC, CCM
1400 POTTERY AVE
PORT ORCHARD, WA 98366-3711
Phone number: 360-895-5000
Mailing Address
RONA BALICAS DIVINAGRACIA APRN, PMHNP-BC, CCM
1400 POTTERY AVE
PORT ORCHARD, WA 98366-3768
Phone number: 360-895-5000
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