Individual
JEROME EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPC
Contact information
Practice address
4120 MERIDIAN ST STE 220, BELLINGHAM, WA 98226-5575
(360) 922-3030
Mailing address
301 HULBUSH LN APT 14, BURLINGTON, WA 98233-1036
(360) 949-6489
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61267837
WA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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