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Individual

MRS. JADA RHODES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
1241 BURNSIDE PL, DUPONT, WA 98327-8810
(253) 882-8277
Mailing address
1241 BURNSIDE PL, DUPONT, WA 98327-8810
(253) 882-8277

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60130471
WA

Other

Enumeration date
02/05/2010
Last updated
10/11/2011
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