Champa Eanes, LPN
Licensed Practical Nurse in Tacoma, WA. Individual provider (NPI-1).
NPI number1043666027
StatusActive
Last updated in NPPESMay 10, 2016
Details
- NPI
- 1043666027
- Entity type
- Individual (NPI-1)
- Name
- Champa Eanes
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2016
- Last updated
- May 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP60209757 | WA | Yes |
Practice location
9040 Jackson AveTacoma, WA 98433
Phone 253-968-0842
Mailing address
2218 Bobs Hollow LnDupont, WA 98327-8788
Phone 503-309-7710
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