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Jessica Canonizado, LPN
Licensed Practical Nurse in Fife, Washington
NPI 1902554116

Jessica Canonizado is a Licensed Practical Nurse based in Lakewood, WA. Jessica Canonizado practices in Fife, WA and has the professional credentials of LPN. The NPI Number for Jessica Canonizado is 1902554116 and holds a License No. LP61095545 (Washington).

The current practice location address for Jessica Canonizado is 2150 Freeman Rd E, Fife, WA and can be reached out via phone at 253-942-5644 and via fax at 253-922-4722.

Location: 2150 Freeman Rd E, Fife, WA, 98499-3848
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902554116
Provider Name
Jessica Canonizado
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
2150 Freeman Rd E, Fife, WA, 98499-3848
Phone Number
253-942-5644
Fax Number
253-922-4722
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2150 Freeman Rd E
City
Fife
State
Washington
Zip
98424-3776
Phone Number
253-942-5644
Fax Number
253-922-4722
person
Provider Business Mailing Address Details
Address
2150 Freeman Rd E
City
Fife
State
Washington
Zip
98424-3776
Phone Number
253-942-5644
Fax Number
253-922-4722
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP61095545 (Washington)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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