Individual
JEANNE KENSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
23104 53RD AVE W, MOUNTLAKE TERRACE, WA 98043-4704
(206) 769-1224
Mailing address
23104 53RD AVE W, MOUNTLAKE TERRACE, WA 98043-4704
(206) 769-1224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021315
WA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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