Individual
JESSICA DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 16TH AVE E # CMB, SEATTLE, WA 98112
(206) 326-3000
Mailing address
201 16TH AVE E # CMB, SEATTLE, WA 98112-5226
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD60882700
WA
Other
Enumeration date
09/29/2015
Last updated
04/26/2021
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