Individual
JANE ANN FOGDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
4727 44TH AVE SW STE 101, SEATTLE, WA 98116-4467
(206) 763-2733
(206) 763-2122
Mailing address
3722 SW TRENTON ST, SEATTLE, WA 98126-3643
(206) 777-5532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00129803
WA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-15451
WA
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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