Individual
JAY S WIRAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
105 WASHINGTON AVE N, KENT, WA 98032-4438
(253) 373-0156
Mailing address
2100 S 260TH ST, APT M302, DES MOINES, WA 98198-9045
(206) 953-3893
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60172344
WA
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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