Individual
LELAND LEROY JURGENSMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
90390 GARDNER LOOP, TACOMA, WA 98431-0001
(253) 968-9015
(253) 968-9054
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-9015
(253) 968-9054
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
32384
NE
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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