Individual
JI AHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 COOPER POINT RD SW STE 21, OLYMPIA, WA 98502-1179
(360) 688-6923
Mailing address
PO BOX 6286, OLYMPIA, WA 98507-6286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61025657
WA
Other
Enumeration date
12/10/2019
Last updated
04/06/2021
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