Individual
JENNIFER RENAE SAUCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9119 MIL PARK AVE, TACOMA, WA 98433
(360) 556-0359
Mailing address
17516 17TH AVE E, SPANAWAY, WA 98387-5521
(360) 556-0359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP60961150
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60961150
WASHINGTON STATE DEPARTMENT OF NURSING
WA
Enumeration date
11/19/2019
Last updated
11/19/2019
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