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Individual

JENNILLE PRASAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1100 GOETHALS DR STE F, RICHLAND, WA 99352-3301
(509) 942-3272
Mailing address
1100 GOETHALS DR STE F, RICHLAND, WA 99352-3301
(509) 554-0611

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.RN.60085465
WA
163WM1400X
Nurse Massage Therapist (NMT)
Primary
RN.RN.60085465
WA

Other

Enumeration date
04/22/2026
Last updated
04/28/2026
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