JESSICA PAVLOVNA PONKRATOV

SPOKANE, WA
NPI1104682053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH61452112)
Enumeration Date2024-02-27
Last Update Date2024-02-27
Business Address
JESSICA PAVLOVNA PONKRATOV PharmD
2929 E 29TH AVE
SPOKANE, WA 99223-4811
Phone number: 509-535-9056
Mailing Address
JESSICA PAVLOVNA PONKRATOV PharmD
5908 W RUTTER PKWY
SPOKANE, WA 99208-9220
Phone number: 360-431-9047