Jasmine Robin Douglass
Technician, Other in Everett, WA. Individual provider (NPI-1).
NPI number1447736632
StatusActive
Last updated in NPPESJul 11, 2018
Details
- NPI
- 1447736632
- Entity type
- Individual (NPI-1)
- Name
- Jasmine Robin Douglass
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2018
- Last updated
- Jul 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
4526 Federal AveEverett, WA 98203-2132
Phone 425-349-6200
Mailing address
4706 S 3rd AveEverett, WA 98203-2529
Phone 425-344-5268
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