Individual
JARED DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60062893
WA
Other
Enumeration date
10/10/2015
Last updated
10/10/2015
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