JACKY KINGSADA

ISSAQUAH, WA
NPI1538867882
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP61412255)
Enumeration Date2023-02-16
Last Update Date2023-02-18
Business Address
JACKY KINGSADA NP
195 NE GILMAN BLVD STE 200
ISSAQUAH, WA 98027-2940
Phone number: 253-204-9386
Mailing Address
JACKY KINGSADA NP
314 8TH AVE N
ALGONA, WA 98001-4305
Phone number: 253-204-9386
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