Individual
JESSICA DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC 12315
Contact information
Practice address
29257 188TH AVE SE, KENT, WA 98042-9225
(206) 854-3615
Mailing address
29257 188TH AVE SE, KENT, WA 98042-9225
(206) 854-3615
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
602902623
WA
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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