Individual
JESSICA DUBUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 145TH AVE SE, SNOHOMISH, WA 98290-5658
(425) 923-3520
Mailing address
1324 145TH AVE SE, SNOHOMISH, WA 98290-5658
(425) 923-3520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60674245
WA
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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