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NPI 1255544359 · live from the CMS NPI Registry

Jessy Awiten Ang

Psychiatry & Neurology, Psychiatry in Tacoma, WA. National Provider Identifier 1255544359, active.

NPI record

NPI1255544359 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Psychiatry 2084P0800X
Practice location2411 S 19th St, Tacoma, WA 98405
Practice phone253-627-6606
EnumeratedMay 7, 2007
Last updatedJuly 8, 2007
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Psychiatry primary2084P0800X18096 (WA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.