JAKE EDWARD ENSLIN

PUYALLUP, WA
NPI1780255323
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2021-07-06
Last Update Date2021-07-06
Business Address
JAKE EDWARD ENSLIN
402 15TH AVE SE STE 100
PUYALLUP, WA 98372-3709
Phone number: 253-697-5200
Mailing Address
JAKE EDWARD ENSLIN
225 BELLA VISTA DR
FOX ISLAND, WA 98333-9702
Phone number: 253-970-6951
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