Individual
JESSICA TATIEZE TEMGOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4626 NE 93RD ST, VANCOUVER, WA 98665-5356
(503) 894-2734
Mailing address
4626 NE 93RD ST, VANCOUVER, WA 98665-5356
(503) 894-2734
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC153341
OR
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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