Individual
JENNIFER MARIE GRAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12946 SE KENT KANGLEY RD, KENT, WA 98030-7940
(253) 631-6874
(253) 631-7131
Mailing address
PO BOX 7454, BONNEY LAKE, WA 98391-0948
(253) 891-0646
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00019102
WA
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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