person
Jerry Ezell JR., RN
Home Health Registered Nurse in Kalama, Washington
NPI 1750778346

Jerry Ezell JR. is a Home Health Registered Nurse based in Kalama, WA and is specialized in Home Health. Jerry Ezell JR. practices in Kalama, WA and has the professional credentials of RN. The NPI Number for Jerry Ezell JR. is 1750778346 and holds a License No. RN60545703 (Washington).

The current practice location address for Jerry Ezell JR. is 194 Porter Rd, Kalama, WA and can be reached out via phone at 360-673-3488. You can also correspond with Jerry Ezell JR. through the mailing address at 194 PORTER RD, KALAMA, WA - 98625-9698 (mailing address contact number: 360-673-3488).

Location: 194 Porter Rd, Kalama, WA, 98625-9698
person
Provider Profile Details
NPI Number
1750778346
Provider Name
Jerry Ezell JR.
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
194 Porter Rd, Kalama, WA, 98625-9698
Phone Number
360-673-3488
Fax Number
Provider Enumeration Date
04/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
194 Porter Rd
City
State
Zip
98625-9698
Phone Number
360-673-3488
Fax Number
person
Provider Business Mailing Address Details
Address
194 Porter Rd
City
State
Zip
98625-9698
Phone Number
360-673-3488
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
License No.
RN60545703 (Washington)
Definition
Definition to come...
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