Lashelle Donella Jackson

NPI 1114220894 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1114220894
Gender Female
Enumeration Date 12/17/2010
Last Updated 12/27/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
1660 S COLUMBIAN WAY
SEATTLE WA, 98108-1532, US
Phone (206) 764-2101
Fax
Business Location
1715 PENSACOLA ST
UNIT B
HONOLULU HI, 96822-2604, US
Phone (206) 390-7100
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Washington
License Number LP60046384
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According to our database, Mrs. Lashelle Donella Jackson NPI is 1114220894, taxonomy code is 164W00000X and license number is LP60046384, license state is located at Washington. Lashelle Donella Jackson physically located at 1660 S Columbian Way, Seattle WA, 98108-1532. NPI Number Lashelle Donella Jackson has the Individual type.

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1114220894 NPI number is provided on an as is basis without warranty of any kind. 1114220894 is maintained by the National Plan & Provider Enumeration System. The contents of Lashelle Donella Jackson are for informational purposes only.