Individual
JOVANNA C DIRUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1717 13TH ST STE 300, EVERETT, WA 98201-1621
(425) 297-5500
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005167
WA
Other
Enumeration date
03/26/2007
Last updated
07/31/2014
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