Individual
MRS. KA NING JELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11567 CANTERWOOD BLVD NW, GIG HARBOR, WA 98332-5812
(253) 530-2035
Mailing address
11567 CANTERWOOD BLVD NW, GIG HARBOR, WA 98332-5812
(253) 530-2035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00060285
WA
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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