Individual
DR. JODI RENEE VINGELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
15315 70TH AVE NE, KENMORE, WA 98028-4605
(425) 268-8057
Mailing address
15315 70TH AVE NE, KENMORE, WA 98028-4605
(425) 268-8057
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT 60268654
WA
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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