Individual
JILDA FATHIMA NANAN CHIRAKKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 39TH AVE SW, PUYALLUP, WA 98373-3801
(253) 841-1301
Mailing address
10411 SE 174TH ST APT 3440, RENTON, WA 98055-5869
(425) 533-4558
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP61251972
WA
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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