Individual
JAIME MINNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
903 27TH AVE SE, PUYALLUP, WA 98374-1220
(425) 829-2742
Mailing address
903 27TH AVE SE, PUYALLUP, WA 98374-1220
(425) 829-2742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60246989
WA
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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