Individual
JAYNA WITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 SW 4TH AVE, ONTARIO, OR 97914-2626
(541) 889-3390
Mailing address
728 SW 4TH AVE, ONTARIO, OR 97914-2626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P7526
ID
183500000X
Pharmacist
Primary
RPH-0015427
OR
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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