Individual
MS. CASILDA JENNINGS VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18 W MERCER ST STE 380, SEATTLE, WA 98119
(206) 775-8760
Mailing address
PO BOX 1149, OLALLA, WA 98359-1149
(206) 775-8760
(206) 775-8760
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30007202
WA
Other
Enumeration date
10/26/2006
Last updated
11/01/2018
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