Individual
MRS. JESSICA SIDNEY BERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3053 31ST AVE W, SEATTLE, WA 98199-2724
(206) 915-7870
Mailing address
3053 31ST AVE W, SEATTLE, WA 98199-2724
(206) 915-7870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017069
WA
Other
Enumeration date
05/11/2007
Last updated
09/22/2009
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