Individual
JIYEON HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 669-0600
(360) 669-0602
Mailing address
2690 NE KRESKY AVE, CHEHALIS, WA 98532-2412
(360) 669-0600
(360) 669-0602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60855161
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107557
—
WA
Enumeration date
08/28/2018
Last updated
09/26/2022
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