Individual
JENNIFER BANESSA GOMEZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 164TH AVE NE, BELLEVUE, WA 98008-3518
(425) 747-4937
Mailing address
999 164TH AVE NE, BELLEVUE, WA 98008-3518
(425) 747-4937
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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