Individual
KYRA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 E PIONEER # B, PUYALLUP, WA 98372-3267
(425) 298-3128
Mailing address
417 E PIONEER # B, PUYALLUP, WA 98372-3267
(425) 298-3128
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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