Jennifer Coulter

NPI #1144778259 in Lacey, Washington

Provider Information

NPI Number: 1144778259
Entity Type: Individual
Name: Jennifer Coulter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 17, 2016
Last Updated: Sep 17, 2016

Practice Location

Address: 4315 MCKINLEY ST NE
City: Lacey
State: Washington
ZIP Code: 98516-6281
Phone: (360) 868-7005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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