Individual
JENNIFER ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10709 N DIVISION ST, SPOKANE, WA 99218-1631
(509) 466-9008
Mailing address
10709 N DIVISION ST, SPOKANE, WA 99218-1631
(509) 466-9008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60126512
WA
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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