Diane M Jackson

NPI #1699813014 in Bothell, Washington

Provider Information

NPI Number: 1699813014
Entity Type: Individual
Name: Diane M Jackson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 11913 NE 195TH ST
City: Bothell
State: Washington
ZIP Code: 98011-3147
Phone: (425) 489-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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