JESSY AWITEN ANG

TACOMA, WA
NPI1255544359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WA  18096)
Enumeration Date2007-05-07
Last Update Date2007-07-08
Business Address
Mr. JESSY AWITEN ANG
2411 S 19TH ST
TACOMA, WA 98405-2954
Phone number: 253-627-6606
Mailing Address
Mr. JESSY AWITEN ANG
2411 S 19TH ST
TACOMA, WA 98405-2954
Phone number: 253-627-6606
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