Individual
MR. FREDERICK STEVEN JESTRAB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
9601 STEILACOOM BLVD SW, WESTERN STATE HOSPITAL- MAIL STOP 13-100, TACOMA, WA 98498-7213
(253) 756-2521
(253) 756-2707
Mailing address
3119 OLYMPIC BLVD W, UNIVERSITY PLACE, WA 98466-1605
(253) 566-6621
(253) 756-2707
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
PH00010322
WA
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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