Individual
JINA MARIE TAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195
(206) 520-5700
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA60293315
WA
363L00000X
Nurse Practitioner
Primary
AP60857979
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588912059
—
WA
Enumeration date
08/15/2012
Last updated
08/14/2018
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