Individual
JAMIE LIMFUECO SISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-7572
Mailing address
9222 WINDSOR LN NE APT 101, OLYMPIA, WA 98516-5975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61314855
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH61314855
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
09/13/2022
Last updated
09/13/2022
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