Individual
JADE BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 183RD ST SE, APT J303, BOTHELL, WA 98012-7495
(260) 701-6252
Mailing address
1225 183RD ST SE, APT J303, BOTHELL, WA 98012-7495
(260) 701-6252
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN60168671
WA
Other
Enumeration date
01/08/2016
Last updated
01/20/2016
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