Individual
JENNY MARINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
1202 BLACK LAKE BLVD SW, OLYMPIA, WA 98502-7207
(360) 878-8248
Mailing address
18034 ALBANY ST SW UNIT B, ROCHESTER, WA 98579-7527
(360) 915-3595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
11/09/2022
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