Individual
JAMESHA MICAL JILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 PROVIDENCE POINT DR SE, ISSAQUAH, WA 98029-7219
(425) 391-2800
Mailing address
312 CHIPOLA DR, DELAND, FL 32720-7790
(612) 458-7243
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5215377
FL
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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