Individual
MRS. JESSICA D TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1115 13TH ST, SNOHOMISH, WA 98290-2012
(360) 568-0548
Mailing address
325 RHODORA HEIGHTS RD, LAKE STEVENS, WA 98258-9276
(818) 723-0615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60473390
WA
Other
Enumeration date
08/15/2014
Last updated
03/17/2018
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