Individual
JAINABA SIDIBEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3013 NE WHITMAN AVE, VANCOUVER, WA 98662-3013
(360) 719-8844
Mailing address
PO BOX 3153, VANCOUVER, WA 98668-3153
(360) 719-8844
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201391079RN
OR
Other
Enumeration date
09/09/2013
Last updated
05/04/2015
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