Individual
MRS. DESTINI CONEY JAMMEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
414 17TH ST SE, AUBURN, WA 98002-6822
(253) 876-7235
Mailing address
23309 61ST AVE S APT EE202, KENT, WA 98032-4831
(325) 232-0835
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160029218
WA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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