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Individual

KIEM 'JAY' JARED WEINER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4519 1/2 UNIVERSITY WAY NE, SEATTLE, WA 98105-4515
(206) 632-5074
(206) 632-9443
Mailing address
4519 1/2 UNIVERSITY WAY NE, SEATTLE, WA 98105-4515
(206) 632-5074
(206) 632-9443

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00018787
WA

Other

Enumeration date
02/19/2009
Last updated
02/19/2009
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