Individual
MS. JACQUELYN KAY BROLSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
(206) 223-1482
Mailing address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
(206) 223-1482
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
AP30001583
WA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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