Individual
JORDAN SHIMOMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1375 NW MALL ST STE 4, ISSAQUAH, WA 98027-8950
(425) 654-0080
Mailing address
1204 N 10TH PL APT 2347, RENTON, WA 98057-5665
(206) 499-8151
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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