Individual
MR. JASON BLAIRE LLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.C.
Contact information
Practice address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3500
Mailing address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60432835
WA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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