Individual
JESSICA MACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4628
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-4628
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN60087464
WA
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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