Individual
JAZMIN ESMERALDA ALEJANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 BUSH ST, WALLA WALLA, WA 99362-2618
(509) 522-0400
Mailing address
409 W CHERRY ST, WALLA WALLA, WA 99362-1738
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000217722
—
WA
Enumeration date
07/15/2021
Last updated
07/15/2021
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