Individual
JENNIFER WALLENFELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
5824 S MONTGOMERY ST, TACOMA, WA 98409-5326
(253) 691-7611
Mailing address
5824 S MONTGOMERY ST, TACOMA, WA 98409-5326
(253) 691-7611
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60054727
WA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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