Individual
JUSTIN MARCUS KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13739 22ND AVE NE, SEATTLE, WA 98125-3313
(206) 316-0419
Mailing address
13739 22ND AVE NE, SEATTLE, WA 98125-3313
(206) 316-0419
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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