Individual
JEREMY ELKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33480 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 285-7101
Mailing address
33480 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 285-7101
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61133510
WA
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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