Individual
JESSICA LYNN BASTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
411 S EVERGREEN RD, SPOKANE VALLEY, WA 99216-0626
(509) 701-9650
(509) 878-4078
Mailing address
411 S EVERGREEN RD, SPOKANE VALLEY, WA 99216-0626
(509) 701-9650
(509) 878-4078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60730152
WA
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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