Kimberly Destefano
NPI #1104281526 in Kent, Washington
Provider Information
- NPI Number
- 1104281526
- Entity Type
- Individual
- Name
- Kimberly Destefano
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Dec 30, 2015
- Last Updated
- Dec 30, 2015
Practice Location
- Address
- 27446 151ST PL SE
- City
- Kent
- State
- Washington
- ZIP Code
- 98042
- Phone
- (509) 945-8288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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