Individual
JESSICA JUNE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
H.C.A
Contact information
Practice address
12321 121ST AVENUE CT E, PUYALLUP, WA 98374-5805
(206) 370-2784
Mailing address
12321 121ST AVENUE CT E, PUYALLUP, WA 98374-5805
(206) 370-2784
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HM60719262
WA
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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