Individual
JESSICA RENEE LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
504 S 3RD AVE, YAKIMA, WA 98902-3543
(509) 469-3727
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61246751
WA
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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