Individual
JESSIE LEAWEI WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 NW MAPLE ST STE 100, ISSAQUAH, WA 98027-8127
(425) 391-3900
Mailing address
1740 NW MAPLE ST, #100, ISSAQUAH, WA 98027
(425) 391-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60778565
WA
207Q00000X
Family Medicine Physician
ML60481512
WA
Other
Enumeration date
04/14/2014
Last updated
07/21/2022
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