Jamie Lynn Hardy, CBT.CB.60986081

NPI #1700432671 in Enumclaw, Washington

Provider Information

NPI Number: 1700432671
Entity Type: Individual
Name: Jamie Lynn Hardy, CBT.CB.60986081
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician/Technologist
Credential: CBT.CB.60986081
Enumeration Date: Aug 15, 2019
Last Updated: Aug 15, 2019

Practice Location

Address: 750 WATSON ST N APT D5
City: Enumclaw
State: Washington
ZIP Code: 98022-7317
Phone: (208) 982-7114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary

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