Individual
JEREMY ROSS DEATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4526 FEDERAL AVE, BLDG 1, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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