Individual
JO ANN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25250 PACIFIC HWY S, KENT, WA 98032-6539
(253) 946-7433
Mailing address
25250 PACIFIC HWY S, KENT, WA 98032-6539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00014696
WA
183500000X
Pharmacist
17762
NV
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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