Individual
JADEN ANN LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 NE 109TH CT, VANCOUVER, WA 98662-6177
(360) 217-4205
Mailing address
32606 NE PARCEL AVE, YACOLT, WA 98675-3803
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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