Individual
DIANA JASSMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7900 OLD WAKE FOREST RD, RALEIGH, NC 27616-3319
(919) 790-9689
Mailing address
5511 HOME VALLEY DR APT 3006, RALEIGH, NC 27612-4469
(919) 605-7475
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29594
NC
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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