Individual
JESSICA AGADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10030 15TH AVE SW, SEATTLE, WA 98146-3728
(206) 763-7464
(206) 763-8263
Mailing address
10030 15TH AVE SW, SEATTLE, WA 98146-3728
(206) 763-7464
(206) 763-8263
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60152456
WA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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