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Individual

MISS JAMIE LYNN BEARDSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
303 W OWENS RD, DEER PARK, WA 99006-9321
(206) 409-8310
(509) 297-7903
Mailing address
303 W OWENS RD, DEER PARK, WA 99006-9321
(206) 409-8310
(509) 297-7903

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60573882
WA
225700000X
Massage Therapist
MA00016719
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0166498
LABOR AND INDUSTRY
WA
Enumeration date
04/24/2007
Last updated
03/24/2021
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