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Search › Washington › 126800000X

Jaclyn Anderson

NPI 1538451067 · on the registry since 2011

Practice

Address
11012 Canyon Rd E
Suite #8 Pmb #761
Puyallup, WA 98373
Phone
(253) 279-2721
Organisation at this address
Albertsons Llc
Out Reach Mobile Imaging
Huzaifa Yasin D.M.D., P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
126800000X
126800000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington