Individual
JESSICA KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 WHITE STREET, CAMBRIDGE, MA 02140
(617) 876-5519
Mailing address
36 WHITE STREET, CAMBRIDGE, MA 02140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240612
MA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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