Individual
JACQUELINE W HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22026 20TH AVE SE, BOTHELL, WA 98021-4449
(855) 993-4346
Mailing address
3816 156TH ST SW APT G203, LYNNWOOD, WA 98087-8479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61030827
WA
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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