Individual
JESSICA A HAUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCHOOL NURSE RN
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3011
Mailing address
11516 103RD AVE SW, VASHON, WA 98070-3008
(360) 298-0843
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60882628
WA
174400000X
Specialist
MA00014404
WA
Other
Enumeration date
09/30/2013
Last updated
12/20/2018
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