Individual
JESSICA LARAINE PANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
504 E 8TH ST. STE A., PORT ANGELES, WA 98362-3319
(360) 452-5000
(360) 452-0228
Mailing address
504 E 8TH ST. STE A., PORT ANGELES, WA 98362-3319
(360) 452-5000
(360) 452-0228
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
NT60943992
WA
175F00000X
Naturopath
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2148760
—
WA
Enumeration date
04/12/2019
Last updated
04/04/2023
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