Provider Demographics
NPI:1689257693
Name:ARCE HERNANDEZ, JESICA ELIZABETH
Entity Type:Individual
Prefix:
First Name:JESICA
Middle Name:ELIZABETH
Last Name:ARCE HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10007 SE 244TH ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-4874
Mailing Address - Country:US
Mailing Address - Phone:206-715-2669
Mailing Address - Fax:253-981-4410
Practice Address - Street 1:10007 SE 244TH ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-4874
Practice Address - Country:US
Practice Address - Phone:206-715-2669
Practice Address - Fax:253-981-4410
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter