Individual
DR. JEUDI TAING BOULOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
15608 18TH PL W, LYNNWOOD, WA 98087-8800
(425) 773-8553
Mailing address
15608 18TH PL W, LYNNWOOD, WA 98087-8800
(206) 779-8718
(206) 202-1575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003326
WA
Other
Enumeration date
04/02/2007
Last updated
05/02/2020
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