Individual
JESRY BACARISAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(800) 748-3243
Mailing address
7821 S K ST, TACOMA, WA 98408-2922
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN61004277
WA
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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