Individual
JACKSON MOMO SEAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5197 NW LOWER RIVER RD, VANCOUVER, WA 98660-1013
(360) 205-1222
Mailing address
9817 NE 86TH ST, VANCOUVER, WA 98662-2107
(240) 505-0272
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC61163430
WA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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