Individual
JESSICA MILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5125 OLYMPIC DR NW STE 110, GIG HARBOR, WA 98335-1712
(253) 853-4000
Mailing address
13066 WALLACE RD SE, OLALLA, WA 98359-9521
(253) 853-4000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60632169
WA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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