Individual
JESSE ADAM LOPATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9040 REID STREET, ATTN:MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-1100
(253) 968-1110
(877) 874-1031
Mailing address
9040 REID STREET, ATTN:MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-1100
(253) 968-1110
(877) 874-1031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN616206
PA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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