Individual
JAZEL PONCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
431 LYONS AVE NE, RENTON, WA 98059-4895
(206) 310-8522
Mailing address
431 LYONS AVE NE, RENTON, WA 98059-4895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60272047
WA
163WM0705X
Medical-Surgical Registered Nurse
RN60272047
WA
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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