Individual
JESSICA KORYN RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 LINCOLN STREET 2ND FLOOR, TACOMA, WA 98431
(253) 968-4079
Mailing address
9900 LINCOLN STREET 2ND FLOOR, TACOMA, WA 98431-1100
(253) 968-4079
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
09/25/2018
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