Individual
JENNY L CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
6201 NE JONES ST, SUQUAMISH, WA 98392-9695
(253) 266-3521
Mailing address
6201 NE JONES ST, SUQUAMISH, WA 98392-9695
(253) 266-3521
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00024022
WA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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