SearchWashington156FX1800X

Jessica Crail, LDO

NPI 1720827744 · on the registry since 2024 · sole proprietor

Practice

Address
7001 Bridgeport Way W
Lakewood, WA 98499
Phone
(253) 512-0965
Fax
(253) 512-0967
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-20

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