Individual
J LINN BLACK HENLINE
Active
Individual
J LINN BLACK HENLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, SAMP
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00016564
WA
Other
Enumeration date
04/05/2007
Last updated
07/08/2007
Update your record
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