Individual
JISMY J CHORATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8945 GRAVELLY LAKE DR SW UNIT 4, LAKEWOOD, WA 98499-3130
(630) 229-4397
Mailing address
8945 GRAVELLY LAKE DR SW UNIT 4, LAKEWOOD, WA 98499-3130
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN60618021
WA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN60618021
WA
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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