NPI 1023416484

Jalycea Pearson

Practitioner Preferred Provider Organization Seattle, WA

Practice location

Address: 8900 12th Ave S, Seattle, WA 98108-1732
Phone: (425) 451-1171

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MA 60214989 (WA)

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Registry record

NPI: 1023416484
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2014
Record last updated: 16 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.