MS. Jessica Rose Louise Hiatt, LMP

NPI #1871730648 in Walla Walla, Washington

Provider Information

NPI Number: 1871730648
Entity Type: Individual
Name: MS. Jessica Rose Louise Hiatt, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Jan 14, 2009
Last Updated: Jan 14, 2009

Practice Location

Address: 120 E BIRCH ST
Address 2: SUITE 2
City: Walla Walla
State: Washington
ZIP Code: 99362-3054
Phone: (509) 240-4424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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