Individual
JESSICA SIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
300 SW 7TH ST, RENTON, WA 98057-2307
(425) 204-2285
Mailing address
11724 SE 221ST ST, KENT, WA 98031-9621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60414076
WA
Other
Enumeration date
09/20/2014
Last updated
09/20/2014
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