Individual
KENNETH JESUS SILVA MILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1604 HEWITT AVE STE 301, EVERETT, WA 98201-3536
(425) 405-0837
Mailing address
311 W CASINO RD APT B102, EVERETT, WA 98204-1766
(541) 709-7753
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.70007678
WA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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