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Jean Piere Nieves
Medical Physician Assistant in Bonney Lake, Washington
NPI 1053946459

Jean Piere Nieves is a Medical Physician Assistant based in Puyallup, WA and is specialized in Medical. Jean Piere Nieves practices in Bonney Lake, WA. The NPI Number for Jean Piere Nieves is 1053946459 and holds a License No. PA61031699 (Washington).

The current practice location address for Jean Piere Nieves is 10004 204Th Ave E, Bonney Lake, WA and can be reached out via phone at 253-848-5951.

Location: 10004 204Th Ave E, Bonney Lake, WA, 98372-7053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053946459
Provider Name
Jean Piere Nieves
Credential
Provider Entity Type
Individual
Gender
Male
Address
10004 204Th Ave E, Bonney Lake, WA, 98372-7053
Phone Number
253-848-5951
Fax Number
Provider Enumeration Date
03/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10004 204Th Ave E
City
Bonney Lake
State
Washington
Zip
98391-6539
Phone Number
253-848-5951
Fax Number
person
Provider Business Mailing Address Details
Address
10004 204Th Ave E
City
Bonney Lake
State
Washington
Zip
98391-6539
Phone Number
253-848-5951
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA61031699 (Washington)
Definition
Definition to come...
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