Individual
JACKIEMAY CATHERINE OSALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 42ND AVE SW, SEATTLE, WA 98116-2513
(206) 932-7437
(206) 932-7440
Mailing address
24313 118TH AVE SE, KENT, WA 98030-9202
(415) 509-6181
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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