| Jessica Canonizado, LPN | |
| 2150 Freeman Rd E, Fife, WA 98424-3776 | |
| (253) 942-5644 | |
| (253) 922-4722 | 
| Full Name | Jessica Canonizado | 
|---|---|
| Gender | Female | 
| Speciality | Licensed Practical Nurse | 
| Location | 2150 Freeman Rd E, Fife, Washington | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1902554116 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP61095545 (Washington) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Canonizado, LPN 4821 Yew Ln Sw, Lakewood, WA 98499-3848 Ph: (253) 232-5154 | Jessica Canonizado, LPN 2150 Freeman Rd E, Fife, WA 98424-3776 Ph: (253) 942-5644 | 
| Alisa A Thompson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4210 20th St E Ste B&c, Fife, WA 98424 Phone: 253-235-5216 Fax: 253-235-1750 | |
| Gabriela Zaldivar, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2150 Freeman Rd E, Fife, WA 98424 Phone: 253-942-4722 Fax: 253-922-4722 | |
| Chad Jones,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2150 Freeman Rd E Ste 1, Fife, WA 98424 Phone: 253-922-7833 Fax: 253-922-7611 | |
| Krystal R Scott, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2150 Freeman Rd E, Fife, WA 98424 Phone: 253-942-5644 Fax: 253-235-5216 | |
| Lavina Giorgio,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2150 Freeman Rd E Ste 1, Fife, WA 98424 Phone: 253-922-7833 Fax: 253-922-7611 | |
| Charis Satta Vululleh,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2150 Freeman Rd E, Fife, WA 98424 Phone: 253-942-5644 | |
| Waheedullah Kharkash, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2150 Freeman Rd E, Fife, WA 98424 Phone: 253-942-4722 |