Individual
JESSA ANIKA BUENAVISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15314 79TH AVE E, PUYALLUP, WA 98375-8459
(206) 779-2862
Mailing address
15314 79TH AVE E, PUYALLUP, WA 98375-8459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61153656
WA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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