Baisley, Jennifer Kangvan

Baisley, Jennifer Kangvan is an individual health care provider with primary practice located at 1630 S Grand Ave , Pullman WA 99163-4906. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Baisley, Jennifer Kangvan can be contacted via phone (509) 339-9371.

Contact Information

Primary practice address
1630 S Grand Ave Pullman WA 99163-4906
Phone: (509) 339-9371
Fax: (509) 334-4415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X VA60791279 Washington

Profile Details

NPI number 1578252748
LBN Legal business name Baisley, Jennifer Kangvan
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2023
Last updated May 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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