Individual
SUMMER KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7504 86TH ST SW, LAKEWOOD, WA 98498-6176
(253) 212-2036
Mailing address
5014 S WAPATO ST, TACOMA, WA 98409-7136
(253) 576-9824
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
MA 60658265
WA
Other
Enumeration date
02/06/2017
Last updated
02/09/2017
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