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Search › Washington › 363A00000X

Jessica Sisu

NPI 1053809277 · on the registry since 2018

Practice

Address
19200 N Kelsey St
Monroe, WA 98272
Phone
(360) 794-9101
Organisation at this address
Credena Health Llc
Laboratory Corporation Of America
Providence Health & Services-Washington
Providence Health & Services - Washington
Providence Health & Services - Washington
Inferred from a shared address, not stated in the registry.
Clinicians at this address
50

Additional practice sites

  • 30809 1st Ave S, Federal Way, WA

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
390200000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington