Individual
EMILY C JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
653 156TH AVE NE, BELLEVUE, WA 98007-4823
(425) 641-9127
Mailing address
16012 SE 10TH ST, BELLEVUE, WA 98008-5053
(206) 817-5556
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
11/28/2019
Last updated
11/28/2019
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