Individual
MR. JASON LUCAS NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
5700 172ND ST NE, ARLINGTON, WA 98223-7742
(360) 572-3511
(360) 654-0420
Mailing address
5700 172ND ST NE, ARLINGTON, WA 98223-7742
(360) 572-3511
(360) 654-0420
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60367576
WA
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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