JESSE R FANN

SEATTLE, WA
NPI1750466553
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WA  MD00029120)
Enumeration Date2006-10-27
Last Update Date2012-01-30
Business Address
JESSE R FANN
UNIVERSITY OF WASHINGTON MEDICAL CTR 1959 NE PACIFIC ST
SEATTLE, WA 98195-6560
Phone number: 206-598-6195
Mailing Address
JESSE R FANN
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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