Individual
JESIKAH CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33507 9TH AVE S STE H2, FEDERAL WAY, WA 98003-6638
(206) 930-8838
Mailing address
33507 9TH AVE S STE H2, FEDERAL WAY, WA 98003-6638
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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