Individual
MS. JENNIFER EMILY BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
26659 MYRTLE LN NE APT 102, KINGSTON, WA 98346-9464
(360) 516-0743
Mailing address
26659 MYRTLE LANE NE APT.102, KINGSTON, WA 98346
(360) 516-0743
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA60265601
WA
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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