Individual
JESSICA ANN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
27204 208TH AVE SE, MAPLE VALLEY, WA 98038-3101
(206) 786-7319
Mailing address
27204 208TH AVE SE, MAPLE VALLEY, WA 98038-3101
(206) 786-7319
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60044871
WA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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