Individual
JEANNETTE DELOSANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1270 KOT-NUM RD, WARM SPRINGS, OR 97761
(541) 553-1196
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10083
ID
Other
Enumeration date
11/25/2019
Last updated
08/09/2022
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