Individual
JENNIFER WILSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7041 PACIFIC AVE, TACOMA, WA 98408-7220
(253) 474-0115
Mailing address
7041 PACIFIC AVE, TACOMA, WA 98408-7220
(253) 474-0115
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00041374
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VA00041374
—
WA
Enumeration date
08/08/2022
Last updated
08/08/2022
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