Individual
JANA RAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
302 COLUMBIA ST NW, OLYMPIA, WA 98501-1031
(360) 689-4888
Mailing address
610 FOOTE ST SW, OLYMPIA, WA 98502-5432
(360) 689-4888
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60130444
WA
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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