Individual
MRS. JACKLIEN SALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20930 108TH AVE SE, KENT, WA 98031-1101
(253) 856-8868
Mailing address
20930 108TH AVE SE, KENT, WA 98031-1101
(253) 856-8868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60233338
WA
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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