Leyton Endicott Jump

NPI #1790741924 in Tenino, Washington

Provider Information

NPI Number: 1790741924
Entity Type: Individual
Name: Leyton Endicott Jump
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Enumeration Date: Apr 25, 2006
Last Updated: Feb 26, 2015

Practice Location

Address: 273 SUSSEX AVE E
City: Tenino
State: Washington
ZIP Code: 98589-9359
Phone: (360) 264-5665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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