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Individual

JESSIKA FONTANA HORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-A

Contact information

Practice address
4800 SAND POINT WAY NE, M/S 6640, SEATTLE, WA 98105-3901
(206) 987-5466
Mailing address
2760 NE 88TH ST, SEATTLE, WA 98115-3458

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00004036
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8435190
WA
Enumeration date
08/30/2006
Last updated
07/08/2007
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