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Individual

JENNIFER LEE WRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2412 PICO BLVD, SANTA MONICA, CA 90405-1827
(310) 648-0303
Mailing address
2412 PICO BLVD, SANTA MONICA, CA 90405-1827
(310) 648-0303

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
160972
CA

Other

Enumeration date
05/10/2023
Last updated
05/10/2023
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