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Individual

JENNIFER KATHERINE MCCASLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
13820 19TH AVE NE, TULALIP, WA 98271-6706
(425) 319-5900
Mailing address
1306 38TH ST, EVERETT, WA 98201-4801
(425) 319-5900

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN60264230
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163WHOOOOOX
WA
Enumeration date
07/31/2013
Last updated
07/31/2013
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