Individual
JEANNE DEE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1322 3RD ST SE STE 20, PUYALLUP, WA 98372-3771
(253) 697-1350
(253) 770-5175
Mailing address
4301 68TH AVENUE CT W, UNIVERSITY PLACE, WA 98466-4909
(253) 732-1118
(253) 770-5175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00018112
WA
Other
Enumeration date
01/11/2006
Last updated
06/05/2019
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