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Individual

JACQUELINE D MCMATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4534 S 79TH ST STE A, TACOMA, WA 98409-1011
(253) 278-4405
Mailing address
4534 S 79TH ST STE A, TACOMA, WA 98409-1011
(253) 278-4405

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60023973
WA

Other

Enumeration date
10/12/2018
Last updated
10/12/2018
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