JORGE FABIAN BALDERRAMA

SEATTLE, WA
NPI1932402260
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  PH60159486)
Enumeration Date2010-12-08
Last Update Date2010-12-08
Business Address
-- JORGE FABIAN BALDERRAMA PharmD
1410 E JOHN ST
SEATTLE, WA 98112-5218
Phone number: 206-323-4935
Mailing Address
-- JORGE FABIAN BALDERRAMA PharmD
523 BROADWAY E APT 226
SEATTLE, WA 98102-5373
Phone number: 915-920-3982