Individual
JACQUEZ PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3580 PACIFIC AVE, TACOMA, WA 98418-7915
(425) 259-3191
Mailing address
450 MONROE AVE NE APT 301, RENTON, WA 98056-8427
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG70013244
WA
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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