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Individual

JEREMY ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2222 32ND AVE W, SEATTLE, WA 98199-4044
(206) 282-2881
Mailing address
2232 NE 197TH PL, SHORELINE, WA 98155-1235
(206) 384-7376

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00057033
WA

Other

Enumeration date
06/23/2006
Last updated
07/08/2007
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