Organization
K&J NURSE DELEGATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYOUNG CRADDOCK (OWNER)
(253) 590-6817
Entity
Organization
Contact information
Practice address
5722 65TH ST NE, MARYSVILLE, WA 98270-6129
(253) 590-6817
Mailing address
5722 65TH ST NE, MARYSVILLE, WA 98270-6129
(253) 590-6817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60130475
WA
163W00000X
Registered Nurse
RN6022137
WA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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