Individual
JEHNA LARIVEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9040 REID STREET, TACOMA, WA 98431
(253) 968-1110
Mailing address
1021 MCDONALD AVE, DUPONT, WA 98327
(603) 845-6622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
06329321
NH
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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