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Individual

JODY B FRIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
15418 MAIN ST, MILL CREEK, WA 98012-9030
(206) 860-5414
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004278
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2012876
WA
Enumeration date
11/08/2006
Last updated
06/16/2026
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