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NPI Code Detail

MEDICARE: JERCELL RESPICIO

MEDICARE:   JERCELL  RESPICIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianDR.0077434CO

General Provider Information

NPI Number : 1457115305
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERCELL RESPICIO
Provider Business Mailing Address
First Line : 9040 JACKSON AVE
Second Line :
City : TACOMA
State : WA
Zip : 98431-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9040 JACKSON AVE
Second Line :
City : TACOMA
State : WA
Zip : 98431-0001
Country : US
Telephone Number : 253-968-1760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2024
Last Update Date : 04/06/2026

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Directions to “ JERCELL RESPICIO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.