Individual
JOEMAR ENRICO SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9040 JACKSON AVE ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-0001
(253) 968-3869
Mailing address
9040 JACKSON AVE ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001257852
VA
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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