Individual
LAJUANA DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9059 GARDNER LOOP, TACOMA, WA 98433
(253) 363-5598
(253) 967-7290
Mailing address
9059 GARDNER LOOP, JBLM, WA 98431
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001208627
VA
163WP2201X
Ambulatory Care Registered Nurse
0001208627
VA
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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