Individual
INA JEANOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 S 300TH PL, AUBURN, WA 98001-2929
(253) 315-4673
Mailing address
4603 S 300TH PL, AUBURN, WA 98001-2929
(253) 315-4673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00112673
WA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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