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Individual

MS. JESSICA ALVAREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
527 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438-1304
(253) 982-5505
Mailing address
690 BARNES BLVD BLDG 527, JOINT BASE LEWIS MCCHORD, WA 98438-1303
(253) 982-5505

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1506371240
MILITARY
Enumeration date
04/10/2019
Last updated
06/11/2019
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