Individual
HONEY JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19730 64TH AVE W, LYNNWOOD, WA 98036-5957
(206) 612-8271
Mailing address
19730 64TH AVE W, LYNNWOOD, WA 98036-5957
(206) 612-8271
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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