Individual
JYOTSNA RAVISHANKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6300 E LAKE SAMMAMISH PKWY SE, ISSAQUAH, WA 98029-8935
(425) 369-0265
Mailing address
6300 E LAKE SAMMAMISH PKWY SE, ISSAQUAH, WA 98029-8935
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00065073
WA
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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