Individual
JESSICA M LATOURELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
250 FORT STREET, NEAH BAY, WA 98357
(360) 645-2431
Mailing address
PO BOX 410, NEAH BAY, WA 98357-0410
(360) 645-2431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1912
AK
183500000X
Pharmacist
3281
WY
183500000X
Pharmacist
Primary
PH60097575
WA
Other
Enumeration date
09/28/2009
Last updated
04/03/2012
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