Individual
JESSICA B EDENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EAMP, L.AC.
Contact information
Practice address
24770 TAREE BLVD NE, KINGSTON, WA 98346-8208
(512) 270-9468
Mailing address
24770 TAREE BLVD NE, KINGSTON, WA 98346-8208
(903) 267-3297
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC61377904
WA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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