Individual
JENNA LOUISE COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 NORTHSTAR RD, IONE, WA 99139-1006
(509) 563-9355
Mailing address
PO BOX 522, IONE, WA 99139-0522
(509) 563-9355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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