Individual
JAY-R RUIZ BELARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 NW EARL LN, COLLEGE PLACE, WA 99324-1580
(907) 917-6159
Mailing address
23 NW EARL LN, COLLEGE PLACE, WA 99324-1580
(907) 917-6159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61575553
WA
Other
Enumeration date
10/07/2024
Last updated
10/10/2024
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