Individual
JORDAN ELIZABETH ZIEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7401 W GRANDRIDGE BLVD STE 102, KENNEWICK, WA 99336-7831
(509) 588-0802
Mailing address
7401 W GRANDRIDGE BLVD STE 102, KENNEWICK, WA 99336-7831
(509) 588-0802
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61136808
WA
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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