Individual
JODI MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10302 156TH ST E, 2136, PUYALLUP, WA 98374-9321
(253) 604-1066
Mailing address
10302 156TH ST E, 2136, PUYALLUP, WA 98374-9321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60231439
WA
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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