Individual
JAIZA WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
(360) 878-8248
Mailing address
8635 LITT DR SE APT 101, LACEY, WA 98516-4697
(360) 878-5901
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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