Individual
MS. JILL MARIE DEBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9222 BAYSHORE DR NW STE 100, SILVERDALE, WA 98383-9114
(360) 731-6166
Mailing address
PO BOX 2838, SILVERDALE, WA 98383-2838
(360) 731-6166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00008186
WA
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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