Individual
DR. JESSICA EVE YAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVE, BOX 1240, BROOKLYN, NY 11203-2012
(718) 270-4180
(718) 270-4244
Mailing address
450 CLARKSON AVE, BOX 1240, BROOKLYN, NY 11203-2012
(718) 270-4180
(718) 270-4244
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD60084599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0294146
L&I
WA
05
—
1922208743
—
WA
Enumeration date
07/19/2007
Last updated
09/26/2012
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