Individual
JILL FLYNN DEANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040A JACKSON AVE, TACOMA, WA 98327
(615) 202-0054
Mailing address
3096 SHANNON ST, DUPONT, WA 98327-8767
(615) 202-0054
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61579114
WA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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