Individual
LIAM JEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6600
Mailing address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 257-6600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61300945
WA
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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