Search › Washington › 101YA0400X
Jerome Walters, CDP
NPI 1598153280 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3715 S 141st St Apt 6
Tukwila, WA 98168 - Phone
- (206) 747-6446
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-03
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