Individual
JAMIE HATLEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19321 44TH AVE W, LYNNWOOD, WA 98036-5664
(425) 670-5698
Mailing address
19321 44TH AVE W, LYNNWOOD, WA 98036-5664
(425) 670-5698
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60102807
WA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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