JEFFERY LYN PATE

TACOMA, WA
NPI1679092274
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  LP60181016)
Additional Taxonomies164W00000X Licensed Practical Nurse
(Licence: TX  227851)
Enumeration Date2017-09-14
Last Update Date2017-09-14
Business Address
JEFFERY LYN PATE LPN
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-3956
Mailing Address
JEFFERY LYN PATE LPN
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-1100
Phone number: 253-968-3956