Individual
JODI LYNN BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3209 W MCGRAW ST, SEATTLE, WA 98199-3207
(206) 281-9399
Mailing address
8704 19TH AVE NW, SEATTLE, WA 98117-3520
(206) 280-0113
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60083607
WA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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