Individual
MRS. JESSICA DAIVA COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
(202) 248-1401
Mailing address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
(202) 248-1401
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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