Individual
JENNIFER BARR-CLENDENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL ASSISTANT-CE
Contact information
Practice address
39 SHORT CUT RD, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-7635
Mailing address
PO BOX 290, 39 SHORTCUT RD, INCHELIUM, WA 99138-0290
(509) 722-7006
(509) 722-7635
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
1164821
WA
247200000X
Other Technician
CM60391712
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9545807
—
WA
Enumeration date
05/18/2007
Last updated
09/30/2013
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