Individual
MRS. JENELLE JAGNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
Mailing address
8119 179TH PL NE, ARLINGTON, WA 98223-3735
(425) 315-2589
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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