Individual
SONDRA ANNE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NC60519844
Contact information
Practice address
3835 S 312TH ST, AUBURN, WA 98001-2637
(206) 779-7134
Mailing address
PO BOX 47877, OLYMPIA, WA 98504-7877
(360) 236-4700
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
WA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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