Individual
JASMINE SUNSHINE DAYDREAM PLASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SP61230270
Contact information
Practice address
11509 HOLDEN RD SW, LAKEWOOD, WA 98498-2810
(253) 583-5440
Mailing address
1714 GRAVES AVE, ABERDEEN, WA 98520-1213
(360) 986-6528
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP61230270
WA
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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