Individual
JAMIEJO ERNEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1913 68TH AVE NE, TACOMA, WA 98422-3714
(253) 576-4508
Mailing address
1913 68TH AVE NE, TACOMA, WA 98422-3714
(253) 576-4508
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60594621
WA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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