Individual
JALYCEA PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 12TH AVE S, SEATTLE, WA 98108-1732
(425) 451-1171
Mailing address
8900 12TH AVE S, SEATTLE, WA 98108-1732
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MA 60214989
WA
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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