KIMIKO RENA JACKSON

TACOMA, WA
NPI1013493477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP60276858)
Enumeration Date2018-07-18
Last Update Date2018-07-18
Business Address
Mrs. KIMIKO RENA JACKSON LPN
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-4612
Mailing Address
Mrs. KIMIKO RENA JACKSON LPN
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-4612
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