MS. Jacki L Strader, LMP

NPI #1780885392 in Eatonville, Washington

Provider Information

NPI Number: 1780885392
Entity Type: Individual
Name: MS. Jacki L Strader, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: May 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 109 RAINIER AVENUE SOUTH
Address 2: SUITE C
City: Eatonville
State: Washington
ZIP Code: 98328-0546
Phone: (360) 832-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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