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Individual

JAIME PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3819 STEINERBERG ST SE APT SUITE, LACEY, WA 98503-3555
(706) 361-4085
Mailing address
3819 STEINERBERG ST SE, LACEY, WA 98503-3555
(706) 361-4085

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61428551
WA

Other

Enumeration date
08/23/2023
Last updated
08/23/2023
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