Individual
MRS. JANNE LYNNE WELLBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312
(360) 476-4023
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1898
(360) 476-4023
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/11/2015
Last updated
06/20/2018
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