Individual
JEREMIAH NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 N SHORE DR, BELLINGHAM, WA 98226-4414
(360) 676-6000
Mailing address
700 12TH ST, #B, BELLINGHAM, WA 98225-6211
(360) 961-2850
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC60340559
WA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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