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Individual

JESSICA UEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
310 35TH ST SE STE 11, CHARLESTON, WV 25304-1352
(304) 720-9595
Mailing address
5017 KANAWHA AVE SW, SOUTH CHARLESTON, WV 25309-1209

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN81049-AGPCNP-BC
WV

Other

Enumeration date
07/09/2018
Last updated
02/19/2019
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