Individual
MS. ALEXIS JEANLEFON WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8803 TERRACE RD SW, LAKEWOOD, WA 98498-4659
(235) 844-4523
(235) 302-3923
Mailing address
6711 159TH ST E, PUYALLUP, WA 98375-7417
(253) 472-2153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00046252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239541
—
WA
Enumeration date
03/22/2021
Last updated
03/22/2021
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