Individual
JACQUELINE KUNNAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3251
Mailing address
821 S 219TH ST APT 2, DES MOINES, WA 98198-6356
(206) 302-8039
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
60221345
WA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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