Individual
MR. JAMIE SCOTT FALCONER
Active
Individual
MR. JAMIE SCOTT FALCONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
60010434
WA
Other
Enumeration date
12/25/2023
Last updated
03/28/2024
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