Jody Lyn Genuard, NC10062045

NPI #1790038420 in Lakewood, Washington

Provider Information

NPI Number: 1790038420
Entity Type: Individual
Name: Jody Lyn Genuard, NC10062045
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Credential: NC10062045
Enumeration Date: Oct 18, 2012
Last Updated: Oct 18, 2012

Practice Location

Address: 9330 59TH AVE SW
City: Lakewood
State: Washington
ZIP Code: 98499-2858
Phone: (253) 298-9141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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