Individual
MR. JAKE R RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
23211 HWY 99 APT A308, EDMONDS, WA 98026-8777
(425) 314-8881
Mailing address
23211 HWY 99 APT A308, EDMONDS, WA 98026-8777
(425) 314-8881
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00066500
WA
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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