Individual
JESSA LOUISE OSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2555 MARVIN RD NE, LACEY, WA 98516-3138
(360) 493-4450
(360) 493-4455
Mailing address
2555 MARVIN RD NE, LACEY, WA 98516-3138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60323879
WA
Other
Enumeration date
08/13/2008
Last updated
02/28/2024
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