JENNIFER M WALLER

BELLEVUE, WA
NPI1942645965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA  A1 60329486)
Enumeration Date2013-05-03
Last Update Date2013-05-03
Business Address
-- JENNIFER M WALLER LAT, ATC
14575 NE 35TH STREET E104
BELLEVUE, WA 98007
Phone number: 704-962-5557
Mailing Address
-- JENNIFER M WALLER LAT, ATC
14575 NE 35TH STREET E104
BELLEVUE, WA 98007
Phone number:
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