Individual
JACKIE TARANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
842 CLARK ST, LONGVIEW, WA 98632-4625
(360) 606-3482
Mailing address
PO BOX 2376, LONGVIEW, WA 98632-8441
(360) 606-3482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60075288
WA
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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