Individual
JENNA C WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1812 S J ST STE 120, TACOMA, WA 98405-4965
(253) 428-2200
(253) 428-2299
Mailing address
1812 S J ST STE 120, TACOMA, WA 98405-4965
(253) 428-2200
(253) 428-2299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61009093
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144963
—
WA
Enumeration date
09/09/2018
Last updated
02/19/2024
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