Individual
JENNIFER MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
8320 LAKE CITY WAY NE, #106, SEATTLE, WA 98115-4414
(425) 652-2207
Mailing address
8320 LAKE CITY WAY NE, #106, SEATTLE, WA 98115-4414
(425) 652-2207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022662
WA
Other
Enumeration date
01/08/2007
Last updated
11/10/2008
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