NPI 1023560398

Shilah Nickerson

Practitioner Other Technician Tacoma, WA

Practice location

Address: 1402 N Fife St, Tacoma, WA 98406-7405
Phone: (360) 431-0238

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence RBT (WA)

Other Technician, Other providers in Washington →

Registry record

NPI: 1023560398
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2016
Record last updated: 2 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.