Organization
FLU SHOTS BY NURSE JANET, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G. ALAN PARKER (SECRETARY AND CHAIRMAN OF THE BOARD)
(360) 754-6270
Entity
Organization
Contact information
Practice address
2720 28TH AVE SW, TUMWATER, WA 98512-7868
(360) 754-6270
Mailing address
2720 28TH AVE SW, TUMWATER, WA 98512-7868
(360) 754-6270
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00324616
RAILROAD MEDICARE PIN
WA
Enumeration date
04/20/2007
Last updated
08/22/2020
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