Individual
JENNIFER D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 7TH AVE SW, PUYALLUP, WA 98371-6803
(253) 579-0067
Mailing address
118 7TH AVE SW, PUYALLUP, WA 98371-6803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60300762
WA
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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