Individual
MRS. VICTORIA ANN JIMMICUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 FORT STREET, NEAH BAY, WA 98357
(360) 645-2445
Mailing address
PO BOX 273, NEAH BAY, WA 98357-0273
(360) 640-4200
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA60214288
WA
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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