Individual
MRS. JENNIFER SIMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD
Contact information
Practice address
6208 308TH AVE SE, PRESTON, WA 98050
(425) 894-3475
Mailing address
PO BOX 488, PRESTON, WA 98050-0488
(425) 894-3475
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
602887721
WA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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