Individual
CHERI SUZANNE JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
18818 SE 287TH ST, KENT, WA 98042-5443
(253) 740-0239
Mailing address
18818 SE 287TH ST, KENT, WA 98042-5443
(253) 740-0239
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN00077229
WA
Other
Enumeration date
07/05/2017
Last updated
07/21/2022
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