Most Relevant Information
Provider Data
| NPI Number: | 1003445255 |
| Provider Name: | JENNIFER BEATTIE |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/08/2020 |
| Last Updated: | 04/08/2020 |
Provider Practice Location
1360 COUGAR WAY
PULLMAN
WA
99163
Practice Location Phone/Fax
| Phone: | 3608016024 |
| Fax: |
Provider Mailing Location
PO BOX 372
BELFAIR
WA
985280372
Provider Mailing Phone/Fax
| Phone: | 3608016024 |
| Fax: |