Individual
JACQUELYN LEE FARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1901 S CEDAR ST STE 301, TACOMA, WA 98405-2302
(253) 572-7320
Mailing address
1621 KINSMAN CT E, ROY, WA 98580-7751
(843) 274-0128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60983007
WA
Other
Enumeration date
04/09/2019
Last updated
11/04/2020
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