Individual
JENICA FAYE SALVADOR IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17404 60TH AVE W, LYNNWOOD, WA 98037-2835
(425) 905-4150
Mailing address
17404 60TH AVE W, LYNNWOOD, WA 98037-2835
(425) 905-4150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61027122
WA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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