Individual
MS. JENNIE MICHELLE ALLEN-RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
603 S J ST STE 102, TACOMA, WA 98405-4100
(253) 396-4868
(253) 396-4870
Mailing address
603 S J ST STE 102, TACOMA, WA 98405-4100
(253) 396-4868
(253) 396-4870
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ML60019662
WA
2080P0202X
Pediatric Cardiology Physician
Primary
MD60217235
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018803
—
WA
Enumeration date
07/20/2008
Last updated
10/27/2022
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