Individual
JOANNA LYNN MENENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SW 7TH ST, RENTON, WA 98057-2307
(425) 204-2422
Mailing address
300 SW 7TH ST, RENTON, WA 98057-2307
(425) 204-2422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00076188
WA
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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