Individual
LENELL LANE JUMALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4220 80TH ST NE, MARYSVILLE, WA 98270-3423
(541) 646-1887
Mailing address
3741 W MCDOWELL RD APT 242, PHOENIX, AZ 85009-2293
(541) 646-1887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
602737R
WA
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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