Individual
MR. JASON KEONE KALILOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1800 NW MARKET ST STE 200, SEATTLE, WA 98107-3900
(206) 854-4922
Mailing address
1800 NW MARKET ST STE 200, SEATTLE, WA 98107-3900
(206) 854-4922
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA 00025215
WA
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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