Individual
JESSICA R COLLESIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
705 E HARRISON ST, TACOMA, WA 98404-2153
(253) 228-5654
Mailing address
705 E HARRISON ST, TACOMA, WA 98404-2153
(253) 228-5654
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201601329RN
OR
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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