MR. Jaison Joseph
NPI #1083049878 in Washington, Illinois
Provider Information
- NPI Number
- 1083049878
- Entity Type
- Individual
- Name
- MR. Jaison Joseph
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Sep 11, 2013
- Last Updated
- Sep 11, 2013
Practice Location
- Address
- 1101 PEORIA ST
- City
- Washington
- State
- Illinois
- ZIP Code
- 61571-2350
- Phone
- (309) 444-1681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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