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Individual
JENNIFER MARIE TAM
Active
Individual
JENNIFER MARIE TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00169857
WA
363L00000X
Nurse Practitioner
AP61438620
WA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61438620
WA
Other
Enumeration date
08/28/2020
Last updated
05/24/2023
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