Individual
JENRENEE LORRAINE FAIRLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2124 4TH AVE FL 3, SEATTLE, WA 98121-2308
(206) 477-7544
(206) 296-9960
Mailing address
2124 4TH AVE FL 3, SEATTLE, WA 98121-2308
(206) 477-7544
(206) 296-9960
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN60467707
WA
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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