Individual
MRS. JODY MARIE BICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15315 1ST AVE NE, DUVALL, WA 98019
(425) 788-0505
(425) 788-3340
Mailing address
24121 NE 140TH ST, WOODINVILLE, WA 98077
(253) 232-6377
(425) 788-3340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010003
WA
Other
Enumeration date
03/15/2007
Last updated
01/13/2017
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