Individual
MRS. JENNIFER LOVELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
19932 101ST AVE SE, RENTON, WA 98055-7306
(206) 550-4213
Mailing address
19932 101ST AVE SE, RENTON, WA 98055-7306
(206) 550-4213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00012431
WA
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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