Most Relevant Information
Provider Data
| NPI Number: | 1003432782 |
| Provider Name: | JAYDE M WRIGHT LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP60968938 |
Most Important Dates
| Enumeration Date: | 06/18/2020 |
| Last Updated: | 06/18/2020 |
Provider Practice Location
638 12TH ST
WASHOUGAL
WA
986711309
Practice Location Phone/Fax
| Phone: | 3608438235 |
| Fax: |
Provider Mailing Location
638 12TH ST
WASHOUGAL
WA
986711309
Provider Mailing Phone/Fax
| Phone: | 3608438235 |
| Fax: |