Individual
MS. JERANICE EVANGELINE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
27016 NE DOROTHY ST, DUVALL, WA 98019-8346
(425) 999-0000
Mailing address
PO BOX 1837, DUVALL, WA 98019-1837
(425) 999-0000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00013787
WA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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