Individual
JESSICA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2026 54TH AVE E, FIFE, WA 98424-1904
(253) 922-0450
(253) 926-1720
Mailing address
2026 54TH AVE E, FIFE, WA 98424-1904
(253) 922-0450
(253) 926-1720
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61629799
WA
111N00000X
Chiropractor
DC.5071DC
SC
111NN1001X
Nutrition Chiropractor
DC.5071DC
SC
Other
Enumeration date
05/17/2024
Last updated
06/05/2025
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