Individual
JEANNINE WELCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
222 15TH AVE SE, PUYALLUP, WA 98372-3754
(253) 840-8299
Mailing address
222 15TH AVE SE, PUYALLUP, WA 98372-3754
(253) 840-8299
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
RT00000037
WA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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