Individual
JORDANA BLUE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6850 35TH AVE NE STE 11, SEATTLE, WA 98115-7344
(206) 852-8901
Mailing address
7309 SAND POINT WAY NE UNIT 730, SEATTLE, WA 98115-6312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018927
WA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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