Individual
MRS. LASHELLE DONELLA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2101
Mailing address
1715 PENSACOLA ST, UNIT B, HONOLULU, HI 96822-2604
(206) 390-7100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60046384
WA
Other
Enumeration date
12/17/2010
Last updated
03/20/2025
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