Individual
JESSICA EDENS SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSM, LM, CPM
Contact information
Practice address
13128 TOTEM LAKE BLVD NE, SUITE 101, KIRKLAND, WA 98034-2953
(425) 823-1919
Mailing address
13128 TOTEM LAKE BLVD NE, SUITE 101, KIRKLAND, WA 98034-2953
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
60569358
WA
Other
Enumeration date
05/23/2016
Last updated
11/18/2016
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