JERMAINE LAURENCE PEAKE

VANCOUVER, WA
NPI1023335130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172M00000X Mechanotherapist
(Licence: WA  MA60139525)
Enumeration Date2010-04-28
Last Update Date2010-04-28
Business Address
MR. JERMAINE LAURENCE PEAKE LMP
15619 NE 1ST CIR
VANCOUVER, WA 98684-3349
Phone number: 360-840-4197
Mailing Address
MR. JERMAINE LAURENCE PEAKE LMP
15619 NE 1ST CIR
VANCOUVER, WA 98684-3349
Phone number: 360-840-4197