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Individual

MRS. TRINA G JENNINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
11435 AVONDALE RD NE, REDMOND, WA 98052-2801
(425) 647-8831
(206) 420-5310
Mailing address
14331 124TH AVE NE APT C31, KIRKLAND, WA 98034-1480
(425) 647-8831
(206) 420-5310

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00019642
WA

Other

Enumeration date
12/26/2008
Last updated
07/23/2011
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