JESSICA LUCILE TRACY

KELSO, WA
NPI1659192730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP61461645)
Enumeration Date2024-10-21
Last Update Date2024-10-21
Business Address
JESSICA LUCILE TRACY LPN
305 PACIFIC AVE S
KELSO, WA 98626-1638
Phone number: 360-795-5008
Mailing Address
JESSICA LUCILE TRACY LPN
11 ASHLAND ST
KALAMA, WA 98625-9649
Phone number: 360-936-9884
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