Individual
JESSICA FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 194TH ST SW, LYNNWOOD, WA 98036-4613
(425) 426-2761
Mailing address
182 SW 200TH ST, NORMANDY PARK, WA 98166-4024
(253) 278-0591
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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