Individual
JESSICA WATARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
211 S 9TH ST STE 600, PHILADELPHIA, PA 19107-6810
(215) 955-1925
Mailing address
211 S 9TH ST STE 600, PHILADELPHIA, PA 19107-6810
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
OS022061
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2017
Last updated
05/24/2022
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