Individual
JODI LEIGH ROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4903 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 584-3577
(253) 984-1079
Mailing address
4903 108TH ST SW, LAKEWOOD, WA 98499-3724
(253) 589-6484
(253) 984-1079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
53663
CA
363A00000X
Physician Assistant
Primary
PA60057919
WA
363AM0700X
Medical Physician Assistant
PA60057919
WA
Other
Enumeration date
11/04/2009
Last updated
04/16/2025
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