Individual
JACQUELYN STARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10324 CANYON RD E, 105, PUYALLUP, WA 98373-1013
(253) 537-6000
Mailing address
10324 CANYON RD E, PUYALLUP, WA 98373-1013
(253) 537-6000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022320
WA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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