Jacqueline Wawa
NPI #1376992966 in Tacoma, Washington
Provider Information
- NPI Number
- 1376992966
- Entity Type
- Individual
- Name
- Jacqueline Wawa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jun 6, 2016
- Last Updated
- Jun 6, 2016
Practice Location
- Address
- 9040 JACKSON AVE
- City
- Tacoma
- State
- Washington
- ZIP Code
- 98431-1100
- Phone
- (253) 968-3208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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