Individual
JASMINE ROBIN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4706 S 3RD AVE, EVERETT, WA 98203-2529
(425) 344-5268
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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