Individual
MR. JAMIE BRYAN CAMPBELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6604 198TH PL SW, LYNNWOOD, WA 98036-5901
(425) 640-7592
(425) 640-7592
Mailing address
6604 198TH PL SW, LYNNWOOD, WA 98036-5901
(425) 640-7592
(425) 640-7592
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
602965454
WA
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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