Individual
MR. BRIAN CHRISTOPHER JEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
14802 NE 31ST CIR, BLDG. A,SUITE N, REDMOND, WA 98052-5321
(425) 869-2882
(425) 869-0368
Mailing address
14802 NE 31ST CIR, BLDG. A,SUITE N, REDMOND, WA 98052-5321
(425) 869-2882
(425) 869-0368
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MA00021909
WA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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