Individual
SIERRA WHITE-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 100TH ST SW STE 100, LAKEWOOD, WA 98499-2708
(253) 588-3666
Mailing address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
61343809
WA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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