Individual
YING JAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303-9811
(270) 417-6755
Mailing address
3750 RALPH AVE APT 221, OWENSBORO, KY 42303-2205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
022172
KY
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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