Individual
JENNIFER BINAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00040692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP00040692
LPN
WA
Enumeration date
05/24/2017
Last updated
07/21/2022
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