Individual
MR. KENNETH L JASMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
22117 SE 237TH ST, MAPLE VALLEY, WA 98038-8533
(425) 432-1234
(425) 432-6756
Mailing address
22117 SE 237TH ST, MAPLE VALLEY, WA 98038-8533
(425) 432-1234
(425) 432-6756
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00007612
WA
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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