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Individual

DR. JILL K FRESONKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
3670 STONE WAY N STE N271, SEATTLE, WA 98103-8004
(206) 834-4100
(206) 834-4131
Mailing address
PO BOX 84909, SEATTLE, WA 98124-6209
(206) 834-4100
(206) 834-4131

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
818
WA
175F00000X
Naturopath
Primary
NT00000818
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2042382
WA
Enumeration date
02/15/2007
Last updated
03/23/2018
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