Individual
DR. GARDENIA JAZMIN CONTRERAS VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1016 TACOMA AVE, SUNNYSIDE, WA 98944-2263
(509) 837-1500
Mailing address
1525 S 13TH ST, SUNNYSIDE, WA 98944-2490
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61445867
WA
Other
Enumeration date
07/27/2020
Last updated
09/14/2023
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