John Wendell Thornburg

NPI #1215732565 in Kenmore, Washington

Provider Information

NPI Number: 1215732565
Entity Type: Individual
Name: John Wendell Thornburg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 19, 2025
Last Updated: Feb 19, 2025

Practice Location

Address: 8029 NE 169TH ST
City: Kenmore
State: Washington
ZIP Code: 98028-3950
Phone: (425) 488-8298

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Community/Behavioral Health	251S00000X

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