Individual
JEAN MONTENEGRO DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 314-8151
Mailing address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 314-8151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00160632
WA
163WA2000X
Administrator Registered Nurse
Primary
RN00160632
WA
Other
Enumeration date
02/25/2017
Last updated
01/19/2026
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