Individual
JANELLE M IBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5446
(425) 303-3091
Mailing address
1019 112TH ST SW, EVERETT, WA 98204
(425) 551-6200
(425) 551-6017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005326
WA
Other
Enumeration date
12/14/2007
Last updated
10/04/2018
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