JACK ALLAN SOM

VANCOUVER, WA
NPI1295954998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy364SP2800X Clinical Nurse Specialist, Perioperative
(Licence: WA  RN00061877)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
Mr. JACK ALLAN SOM RNFA
MEDICAL CENTER 400 NE MOTHER JOSEPH PLACE
VANCOUVER, WA 98668-9989
Phone number: 360-514-2000
Mailing Address
Mr. JACK ALLAN SOM RNFA
16506 NE 28TH AVE
RIDGEFIELD, WA 98642-8958
Phone number: 360-609-2898
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