Individual
JOVITA WALDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5750
Mailing address
5053 E B ST, TACOMA, WA 98404-1325
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00052108
WA
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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