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Jessica Agada, LMP

Community Health Worker in Seattle, WA. Individual provider (NPI-1).

NPI number1487950366
StatusActive
Last updated in NPPESFeb 9, 2011

Details

NPI
1487950366
Entity type
Individual (NPI-1)
Name
Jessica Agada
Credential
LMP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 9, 2011
Last updated
Feb 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health WorkerMA60152456WAYes

Practice location

10030 15th Ave Sw
Seattle, WA 98146-3728

Phone 206-763-7464 · Fax 206-763-8263

Mailing address

10030 15th Ave Sw
Seattle, WA 98146-3728

Phone 206-763-7464 · Fax 206-763-8263

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