JASON HAUTALA

SHELTON, WA
NPI1750927836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: WA  RN00123238)
Enumeration Date2019-11-22
Last Update Date2019-11-22
Business Address
JASON HAUTALA
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 360-666-3808
Mailing Address
JASON HAUTALA
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 360-666-3808
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