Individual
JESICA ODONGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 649-1406
Mailing address
32278 48TH CT S, AUBURN, WA 98001-2632
(302) 544-2834
(844) 529-8515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61245108
WA
Other
Enumeration date
01/29/2022
Last updated
05/11/2023
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