Individual
JENNIFER ELLEN KOUKOUMIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4260
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(801) 718-6310
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP 60116013
WA
Other
Enumeration date
12/16/2009
Last updated
06/03/2016
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