Individual
MRS. JERILYN D PLETICHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16421 3RD DR SE, BOTHELL, WA 98012-6383
(206) 310-5309
Mailing address
16421 3RD DR SE, BOTHELL, WA 98012-6383
(206) 310-5309
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
8478
WA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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