Individual
JAYDE M WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
638 12TH ST, WASHOUGAL, WA 98671-1309
(360) 843-8235
Mailing address
638 12TH ST, WASHOUGAL, WA 98671-1309
(360) 843-8235
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60968938
WA
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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