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Individual

JESSICA YOLANDA VERNAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3639 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98144-6847
(206) 292-5714
Mailing address
1714 S 334TH LN APT D104, FEDERAL WAY, WA 98003-8942
(425) 891-7821

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101715436
WA
Enumeration date
12/16/2020
Last updated
12/16/2020
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