Individual
JESSICA MAE EHLANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14841 179TH AVE SE STE 140, MONROE, WA 98272-1127
(360) 794-1415
Mailing address
14841 179TH AVE SE STE 140, MONROE, WA 98272-1127
(425) 899-6883
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA61246610
WA
Other
Enumeration date
08/31/2020
Last updated
10/29/2024
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