KIMMISHA JACKSON ROYAL

TACOMA, WA
NPI1679341762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WA  61492022)
Enumeration Date2023-12-18
Last Update Date2023-12-18
Business Address
KIMMISHA JACKSON ROYAL
9600 VETERANS DR SW
TACOMA, WA 98493-6638
Phone number: 253-582-8440
Mailing Address
KIMMISHA JACKSON ROYAL
9712 18TH AVENUE CT S APT R14
TACOMA, WA 98444-6638
Phone number: 253-355-7097
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