Individual
JADE E GRUHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(111) 111-1111
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(111) 111-1111
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
TBD
WA
Other
Enumeration date
08/01/2023
Last updated
08/26/2023
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