Individual
JAYLYNN LYON HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
314 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4250
(253) 403-7257
(253) 403-1340
Mailing address
314 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4250
(253) 403-7257
(253) 403-1340
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA00387
OR
363AS0400X
Surgical Physician Assistant
Primary
PA10003016
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210476
—
OR
05
—
8436255
—
WA
Enumeration date
08/19/2005
Last updated
11/29/2012
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