Individual
JESSICA SANTIAGO KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 3RD ST SE, PUYALLUP, WA 98372-4511
(253) 697-5767
Mailing address
1701 3RD ST SE, PUYALLUP, WA 98372-4511
(253) 697-5767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K4469
TX
207R00000X
Internal Medicine Physician
Primary
MD60602505
WA
Other
Enumeration date
07/20/2006
Last updated
01/22/2016
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