Individual
JON H FAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1000 W 4TH AVE, KENNEWICK, WA 99336-5533
(509) 222-5000
Mailing address
1000 W 4TH AVE, KENNEWICK, WA 99336-5533
(509) 222-5000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60581805
WA
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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