Individual
JANE NYAGUTHII TELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2150 FREEMAN RD E, FIFE, WA 98424-3776
(263) 942-5644
Mailing address
4816 S 215TH ST, KENT, WA 98032-8481
(206) 681-3255
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61066784
WA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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