Individual
JOLENE QUINN KOMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E MAGNOLIA ST, BELLINGHAM, WA 98225-4580
(360) 820-5835
Mailing address
310 E MAGNOLIA ST UNIT 101, BELLINGHAM, WA 98225-4580
(360) 594-1785
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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