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Lyneah Macella Maciel, RN

Registered Nurse in Shelton, WA. Individual provider (NPI-1).

NPI number1013662931
StatusActive
Last updated in NPPESFeb 18, 2022

Details

NPI
1013662931
Entity type
Individual (NPI-1)
Name
Lyneah Macella Maciel
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 18, 2022
Certification date
Feb 18, 2022
Last updated
Feb 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered NurseRN61215169WAYes

Practice location

307 W Cota St
Shelton, WA 98584-2265

Phone 360-205-8002

Mailing address

702 Martin Luther King Jr Way Apt 209
Tacoma, WA 98405-4144

Phone 714-277-7724

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