SearchWashington171R00000X

Jeremias Thuesen

NPI 1619586005 · on the registry since 2020 · sole proprietor

Practice

Address
3380 W Dayton Airport Rd
Shelton, WA 98584
Phone
(360) 359-5145

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-30

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