Individual
JEANENE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19018 106TH AVENUE CT E, PUYALLUP, WA 98374-6487
(209) 990-1302
Mailing address
19018 106TH AVENUE CT E, PUYALLUP, WA 98374-6487
(209) 990-1302
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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