Individual
JERREL KELE MAGSANOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15410 SE 272ND ST UNIT 10, KENT, WA 98042-4244
(253) 740-3979
Mailing address
15410 SE 272ND ST UNIT 10, KENT, WA 98042-4244
(253) 740-3979
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60661357
WA
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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