Jerry Ezell Jr, RN | |
194 Porter Rd, Kalama, WA 98625-9698 | |
(360) 673-3488 | |
Not Available |
Full Name | Jerry Ezell Jr |
---|---|
Gender | Male |
Speciality | Registered Nurse - Home Health |
Location | 194 Porter Rd, Kalama, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750778346 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WH0200X | Registered Nurse - Home Health | RN60545703 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jerry Ezell Jr, RN 194 Porter Rd, Kalama, WA 98625-9698 Ph: (360) 673-3488 | Jerry Ezell Jr, RN 194 Porter Rd, Kalama, WA 98625-9698 Ph: (360) 673-3488 |
Rochelle Grothaus, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 415 Confer Rd, Kalama, WA 98625 Phone: 360-953-7737 | |
Robert Lee Blair, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 119 Blackburn Lane, Kalama, WA 98626 Phone: 360-673-2322 |