Individual
JESSICA WOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1200 NE 65TH ST, SEATTLE, WA 98115-6724
(206) 522-4000
Mailing address
5702 S AUGUSTA ST, SEATTLE, WA 98178-2813
(206) 637-5324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60724991
WA
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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