Individual
JESSICA KYLLONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14692 179TH AVE SE, MONROE, WA 98272-1198
(360) 804-4353
Mailing address
14692 179TH AVE SE, MONROE, WA 98272-1198
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60847156
WA
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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