Individual provider · Type 1 NPI

Kevin Jhordan Moreno Vazquez

Licensed Practical Nurse · Tacoma, WA

NPI number 1801362165 Active

Practice location

9040 Jackson Ave, Attn: Mchj-Clq-C
Tacoma, WA 98433

Mailing address

767 141st Street Ct S
Tacoma, WA 98444-3398

Other practice locations

  • Bldg 3370 Evergreen Ave, Tacoma, WA 98433 · (253) 477-2766

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X337386 (TX)

Licensed Practical Nurse: 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.

7 other providers at this address

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About NPI 1801362165

Kevin Jhordan Moreno Vazquez's National Provider Identifier is 1801362165, issued on Oct 15, 2018. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Tacoma, WA. The record was last updated on Oct 15, 2018.