Individual
JESSICA HUARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60611343
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60611343
WASHINGTON STATE MEDICAL LICENSE
—
01
—
R73508
TRAINING PERMIT
AZ
Enumeration date
07/13/2012
Last updated
04/15/2021
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