Individual
JEROME NOEL BAUTISTA ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14432 LAKE RD, LYNNWOOD, WA 98087-1712
(425) 918-2717
Mailing address
14432 LAKE RD, LYNNWOOD, WA 98087-1712
(425) 918-2717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60649601
WA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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