Individual
MRS. DANA JACCI MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3107 MALTBY RD, BOTHELL, WA 98012-1429
(206) 240-1200
Mailing address
3107 MALTBY RD, BOTHELL, WA 98012-1429
(206) 240-1200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00131481
WA
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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