Individual
JEWEL BERNADETH CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1649 E 72ND ST, TACOMA, WA 98404-5402
(253) 472-9027
Mailing address
1338 FOREMAN RD, DUPONT, WA 98327-8802
(510) 396-1760
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60674930
WA
363LF0000X
Family Nurse Practitioner
AP61553733
WA
Other
Enumeration date
02/19/2024
Last updated
04/29/2024
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