Jacki L Strader, LMP Valid NPI
Individual provider · Specialist · Eatonville, WA
- NPI
- 1780885392
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- MA00009325 (WA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-05-30
- Last updated
- 2007-07-08
Practice location
109 Rainier Avenue South, Suite C
Eatonville, WA 98328-0546
(360) 832-6200