Leyton Endicott Jump
Leyton Endicott Jump is a General Practice Physician in Tenino, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
273 Sussex Ave ETenino, WA 98589-9359
Phone: (360) 264-5665
Fax: (360) 264-5666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence MD00022762 (WA) |
|---|
Record details
| NPI number | 1790741924 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 25, 2006 |
| Last updated in NPPES | February 26, 2015 |