Jesse L Defelice

NPI #1861244964 in Lynnwood, Washington

Provider Information

NPI Number: 1861244964
Entity Type: Individual
Name: Jesse L Defelice
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Apr 2, 2024
Last Updated: Apr 3, 2024

Practice Location

Address: 3924 204TH ST SW
City: Lynnwood
State: Washington
ZIP Code: 98036-6863
Phone: (206) 362-7282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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