Jody Lyn Genuard, NC10062045
Jody Lyn Genuard, NC10062045 is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lakewood, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2012
Practice location Address checks out
9330 59th Ave SWLakewood, WA 98499-2858
Phone: (253) 298-9141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence NC 10062045 (WA) |
|---|
Record details
| NPI number | 1790038420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NC10062045 |
| Sole proprietor | Yes |
| NPI enumerated | October 18, 2012 |
| Last updated in NPPES | October 18, 2012 |