Individual
MARYAM ROYA JALILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP ARNP
Contact information
Practice address
1812 S MILDRED ST STE H, TACOMA, WA 98465-1634
(253) 316-8442
Mailing address
1050 JAMES ST UNIT 310, SEATTLE, WA 98104-2493
(206) 790-6427
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61170286
WA
Other
Enumeration date
11/19/2019
Last updated
09/02/2021
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