Individual
MR. JAYSON ALLEN LANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4001 COLBY AVE STE 2, EVERETT, WA 98201-6208
(425) 789-1726
Mailing address
4001 COLBY AVE STE 2, EVERETT, WA 98201-6208
(425) 789-1726
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DN60779547
WA
Other
Enumeration date
05/17/2018
Last updated
11/07/2018
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