Individual
MARCIE LYNN JANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19506 140TH ST E, BONNEY LAKE, WA 98391-5227
(206) 992-8917
Mailing address
19506 140TH ST E, BONNEY LAKE, WA 98391-5227
(206) 992-8917
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00146484
WA
Other
Enumeration date
06/09/2021
Last updated
06/21/2021
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