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Individual

JESSICA TAMI WHARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3285 FERGUSON ST SW, TUMWATER, WA 98512-6143
(360) 943-1907
(360) 943-1932
Mailing address
3285 FERGUSON ST SW, TUMWATER, WA 98512-6143
(360) 943-1907
(360) 943-1932

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60257928
WA

Other

Enumeration date
03/16/2022
Last updated
03/16/2022
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