Individual
MR. JOHN TYLER BAKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 N 9TH AVE, YAKIMA, WA 98902-3065
(509) 966-4865
(509) 452-0342
Mailing address
12 N 9TH AVE, YAKIMA, WA 98902-3065
(509) 966-4865
(509) 452-0342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 9879
WA
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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