Individual
AMANDA MARIE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
12015 NE 8TH ST, SUITE 1, BELLEVUE, WA 98005-3141
(425) 451-4465
(425) 462-4247
Mailing address
12015 NORTH EAST 8TH STREET, SUITE 1, BELLEVUE, WA 98005
(425) 451-4465
(425) 462-4247
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60229213
WA
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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