Individual
JEAN REMY MUTUMWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 HARRISON AVE, CENTRALIA, WA 98531-1853
(360) 807-2014
Mailing address
1000 FERN ST SW UNIT K301, OLYMPIA, WA 98502-6152
(603) 785-2018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60678152
WA
Other
Enumeration date
07/29/2017
Last updated
07/29/2017
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