Individual
JESSICA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10709 N DIVISION, SPOKANE, WA 99218
(509) 466-9008
(509) 466-0175
Mailing address
10709 N DIVISION, SPOKANE, WA 99218
(509) 466-9008
(509) 466-0175
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60145638
WA
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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