Javellana, Lyrlene Kqm

Javellana, Lyrlene Kqm is an individual health care provider with primary practice located at 1042 W James St Suite No 101, Kent WA 98032-4606. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Javellana, Lyrlene Kqm can be contacted via phone (253) 852-3770.

Contact Information

Primary practice address
1042 W James St Suite No 101 Kent WA 98032-4606
Phone: (253) 852-3770
Fax: (253) 852-3913
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA00017760 Washington

Profile Details

NPI number 1700910320
LBN Legal business name Javellana, Lyrlene Kqm
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700910320 NPPES
Washington Other 91792822 EMPLOYER ID NUMBER
Washington Other MA00017760 EMPLOYER ID NUMBER
Washington Other 0192232 EMPLOYER ID NUMBER

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