Individual
JACILYN KAY T HERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 FAWCETT AVE, TACOMA, WA 98402-5502
(253) 355-9866
Mailing address
1510 N MULLEN ST, TACOMA, WA 98406-3302
(253) 414-2867
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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