Individual
JENNIFER RAY ROSENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
321 FOREST PARK RD, WOODLAND, WA 98674-7204
(360) 721-6321
Mailing address
321 FOREST PARK RD, WOODLAND, WA 98674-7204
(360) 721-6321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60607972
WA
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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