Individual
JESSICA PAVLOVNA PONKRATOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2929 E 29TH AVE, SPOKANE, WA 99223-4811
(509) 535-9056
Mailing address
5908 W RUTTER PKWY, SPOKANE, WA 99208-9220
(360) 431-9047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61452112
WA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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