Individual
JENEAN M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2201 SW 356TH ST, SUITE A, FEDERAL WAY, WA 98023-3033
(253) 838-1441
(253) 838-4345
Mailing address
2201 SW 356TH ST, SUITE A, FEDERAL WAY, WA 98023-3033
(253) 838-1441
(253) 838-4345
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011470
WA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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