Individual
KENZZI MARIE CALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 194TH ST SW STE 100, LYNNWOOD, WA 98036-4613
(425) 426-2761
Mailing address
22712 1ST PL W, BOTHELL, WA 98021-8323
(425) 387-9646
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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