Individual
JEANINE TOTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15675 AMBAUM BLVD SW, BURIEN, WA 98166-2523
(206) 631-3011
Mailing address
336 TACOMA PL NE, RENTON, WA 98056-8502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60106983
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60106983
NURSING LICENSE
WA
Enumeration date
05/11/2020
Last updated
05/11/2020
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