Individual
JESSICA C GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1940 E 1ST ST STE 110, PORT ANGELES, WA 98362-4990
(360) 457-3456
Mailing address
1520 S C ST APT 2, PORT ANGELES, WA 98363-7272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60766847
WA
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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