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NPI Code Detail

MEDICARE: JESSICA GALLEGOS-WHITE ACUPUNCTURIST

MEDICARE: JESSICA GALLEGOS-WHITE ACUPUNCTURIST
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
1171100000XAcupuncturistAC60992239WA
2225700000XMassage TherapistMA00007705WA

General Provider Information

NPI Number : 1407075591
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA GALLEGOS-WHITE ACUPUNCTURIST
Provider Business Mailing Address
First Line : 340 TREMONT ST
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3734
Country : US
Telephone Number : 360-990-8877
Fax Number : 360-874-7707
Provider Business Practice Location Address
First Line : 513 BAY ST STE 2
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5301
Country : US
Telephone Number : 360-990-8877
Fax Number : 360-874-7707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 12/03/2019

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Directions to “ JESSICA GALLEGOS-WHITE ACUPUNCTURIST” 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.

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