| Miss Salome Khasungu Shivachi, RN | |
|
208 Tacoma Blvd N, Pacific, WA 98047-1010 | |
| (205) 356-5838 | |
| Not Available |
| Full Name | Miss Salome Khasungu Shivachi |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 208 Tacoma Blvd N, Pacific, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760986160 | NPI | - | NPPES |
| H2014 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN60618577 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Salome Khasungu Shivachi, RN 208 Tacoma Blvd N, Pacific, WA 98047-1010 Ph: (205) 356-5838 | Miss Salome Khasungu Shivachi, RN 208 Tacoma Blvd N, Pacific, WA 98047-1010 Ph: (205) 356-5838 |
Leann Bailey, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 516 Butte Ave, Pacific, WA 98047 Phone: 253-880-4805 | |
Malayka Young, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 766 Oakhurst Dr, Pacific, WA 98047 Phone: 206-459-9896 |