Individual
JESSICA B RICHMOND
Active
Individual
JESSICA B RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00027620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039578
LABOR & INDUSTRY
WA
05
—
8230922
—
WA
01
—
RI2342
BLUE SHIELD
WA
01
—
US2032792
AETNA/USHC SPECIALIST
WA
Enumeration date
07/20/2006
Last updated
04/07/2008
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