Individual
MS. ODAWNI ALEZENA JOY PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1194 N 198TH ST, SHORELINE, WA 98133-3605
(360) 643-0182
Mailing address
1194 N 198TH ST, SHORELINE, WA 98133-3605
(360) 643-0182
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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