Organization
PUGET SOUND CHRISTIAN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUBILEE PEARL MATTIX NP (NURSE PRACTITIONER)
(360) 201-0926
Entity
Organization
Contact information
Practice address
3312 NE 123RD ST, APT. C, SEATTLE, WA 98125-5691
(360) 201-0926
Mailing address
3312 NE 123RD ST, APT. C, SEATTLE, WA 98125-5691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60703570
WA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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