Individual
JECINTA THUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18204 41ST AVE SE, BOTHELL, WA 98012-8735
(978) 204-0817
Mailing address
18204 41ST AVE SE, BOTHELL, WA 98012-8735
(978) 204-0817
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60788252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
02/18/2020
Last updated
02/18/2020
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