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Desiree R Andersen

Student in an Organized Health Care Education/Training Program in Burien, WA. Individual provider (NPI-1).

NPI number1760216865
StatusActive
Last updated in NPPESAug 29, 2024

Details

NPI
1760216865
Entity type
Individual (NPI-1)
Name
Desiree R Andersen
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 29, 2024
Certification date
Aug 29, 2024
Last updated
Aug 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1210 Sw 136th St
Burien, WA 98166-1214

Phone 206-257-6600

Mailing address

31705 32nd Ave Sw
Federal Way, WA 98023-2253

Phone 253-880-2628

Other practice locations

31705 32nd Ave Sw
Federal Way, WA 98023-2253

Phone 253-880-2628

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