Individual
JURIZA-CHANTELLE DOMINGO MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1109 YELM AVE E, YELM, WA 98597-7683
(360) 458-8835
Mailing address
1109 YELM AVE E, YELM, WA 98597-7683
(360) 458-8835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61185909
WA
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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