NPI 1053452870

Carla Anita Zukowski-West, LMP

Practitioner Other Technician Covington, WA

Practice location

Address: 17224 SE 272nd St, Covington, WA 98042-4953
Phone: (253) 639-8540
Fax: (253) 639-8542
Mailing address: 16209 SE 251st St, Covington, WA 98042-4152

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence MA00020714 (WA)

Other Technician, Other providers in Washington →

Registry record

NPI: 1053452870
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2007
Record last updated: 8 Jul 2007

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.