Individual
JENNIFER SUZANNE KELSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11020 19TH AVE SE, EVERETT, WA 98208-5155
(425) 337-7197
(425) 337-9287
Mailing address
11020 19TH AVE SE, EVERETT, WA 98208-5155
(425) 337-7197
(425) 337-9287
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA60054959
WA
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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