Individual
MRS. JESSICA JANEA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
15220 SE 272ND ST, SUITE D, KENT, WA 98042-4241
(253) 631-7933
(253) 631-4786
Mailing address
15232 SE 272ND ST, #10, KENT, WA 98042-4240
(206) 455-3434
(253) 631-4786
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60137544
WA
Other
Enumeration date
04/03/2010
Last updated
04/03/2010
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