JACOB I. BLAZZARD, PA-C
Medical Practice at Professional Mall Blvd, Pullman, WA

License number
Washington 361
Category
Nursing
Type
Medical
License number
Washington PA60099484
Category
Nursing
Type
Medical
Address
Address
1205 SE Professional Mall Blvd SUITE 104, Pullman, WA 99163
Phone
(509) 332-2605
(509) 334-5754 (Fax)
National Provider ID: 1326125485
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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