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Individual

JEAN MICHELE C. BELISTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3801 5TH ST SE STE 110, PUYALLUP, WA 98374-2106
(253) 845-9585
(253) 848-1126
Mailing address
3801 5TH ST SE STE 110, PUYALLUP, WA 98374-2106
(253) 845-9585
(253) 848-1126

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
PA61470001
WA

Other

Enumeration date
08/28/2020
Last updated
04/15/2024
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