Individual
JASMINE LEEWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431
(253) 968-9729
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431
(253) 968-9729
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101283878
VA
Other
Enumeration date
02/24/2023
Last updated
10/28/2024
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