NPI 1790038420
Jody Lyn Genuard, NC
Practice location
- Address
- 9330 59th Ave SW, Lakewood, WA 98499-2858
- Phone
- (253) 298-9141
- Mailing address
- 9330 59th Avenue Southwest, Lakewood, WA 98499
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1790038420
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Oct 2012
- Record last updated
- 18 Oct 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.