Individual
JILLIAN LEE THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3730 PLAZA WAY FL 5, KENNEWICK, WA 99338-2718
(267) 441-4583
Mailing address
3730 PLAZA WAY FL 5, KENNEWICK, WA 99338-2718
(509) 221-6450
(509) 221-6511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61328250
WA
Other
Enumeration date
04/03/2018
Last updated
08/30/2023
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