Individual
JILLIAN DIANE OKUMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3714 19TH AVENUE CT SE, PUYALLUP, WA 98372-4232
(808) 756-2108
Mailing address
3714 19TH AVENUE CT SE, PUYALLUP, WA 98372-4232
(808) 756-2108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60606094
WA
Other
Enumeration date
01/29/2025
Last updated
01/31/2025
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