Individual
JACQUELYN DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
1312 VANDERCOOK WAY, LONGVIEW, WA 98632-3902
(360) 425-6620
Mailing address
1312 VANDERCOOK WAY, LONGVIEW, WA 98632-3902
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
RN60291566
WA
Other
Enumeration date
03/15/2022
Last updated
06/16/2022
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