CHARYL LADONNE JADA JACK

BREMERTON, WA
NPI1033386529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WA  OT60003424)
Enumeration Date2008-05-13
Last Update Date2020-12-11
Business Address
Miss CHARYL LADONNE JADA JACK OTR/L
1500 SHOREWOOD DR
BREMERTON, WA 98312-2323
Phone number: 360-670-9327
Mailing Address
Miss CHARYL LADONNE JADA JACK OTR/L
1500 SHOREWOOD DR
BREMERTON, WA 98312-2323
Phone number: 360-670-9327
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