Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 52640-20 | WI |
Y | 2080P0202X | Pediatric Cardiologist | MD60356701 | WA |
NPI | 1265456008 |
---|---|
Provider Name | Dr. Jennifer Mary Plymale |
First Address | Liberty Lake, WA 99019-0421 |
Second Address | Spokane, WA 99204-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 22/06/2021 |