Individual
MS. JUDY H JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
410 MILWAUKEE BLVD S, PACIFIC, WA 98047-1315
(253) 735-3468
Mailing address
410 MILWAUKEE BLVD S, PACIFIC, WA 98047-1315
(253) 735-3468
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00007055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA00007055
LMP
WA
Enumeration date
08/11/2010
Last updated
08/11/2010
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