Individual
JAMIE KISSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 W IVY AVE, MOSES LAKE, WA 98837-2065
(509) 766-2670
Mailing address
1318 W IVY AVE, MOSES LAKE, WA 98837-2065
(509) 766-2670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60531722
WA
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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