Individual
MS. JENA YVONNE MILO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14460 CRESCENT VALLEY RD SE, OLALLA, WA 98359-9551
(253) 857-9051
(253) 857-3141
Mailing address
14460 CRESCENT VALLEY RD SE, OLALLA, WA 98359-9551
(253) 857-9051
(253) 857-3141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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