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Individual

JACKY KINGSADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
195 NE GILMAN BLVD STE 200, ISSAQUAH, WA 98027-2940
(253) 204-9386
Mailing address
314 8TH AVE N, ALGONA, WA 98001-4305
(253) 204-9386

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61412255
WA

Other

Enumeration date
02/16/2023
Last updated
02/18/2023
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