Individual
JESSE L DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3924 204TH ST SW, LYNNWOOD, WA 98036-6863
(206) 362-7282
Mailing address
13933 113TH AVE NE, KIRKLAND, WA 98034-5308
(845) 260-5113
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/03/2024
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