Individual
MISS JAMIE LEIALOHA SHIMABUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC/SLP
Contact information
Practice address
22443 SE 240TH ST, B101, MAPLE VALLEY, WA 98038
(425) 358-7160
(425) 358-7159
Mailing address
22443 SE 240TH ST, B101, MAPLE VALLEY, WA 98038
(425) 358-7160
(425) 358-7159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60223112
WA
Other
Enumeration date
09/12/2011
Last updated
07/31/2012
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