Individual
MR. JAIME ANTONIO SIFRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
PRIMARY AND SPECIALTY MEDICAL CARE, 9600 VETERANS DRIVE, TACOMA, WA 98493-0001
(253) 583-1159
(253) 583-1402
Mailing address
9109 73RD STREET CT SW, LAKEWOOD, WA 98498-3995
(253) 583-1159
(253) 583-1402
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN00143743
WA
Other
Enumeration date
10/16/2006
Last updated
09/26/2008
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