Provider Demographics
NPI:1801224738
Name:DAO, JESSICA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:DAO
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 MADEIRA CT
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-3189
Mailing Address - Country:US
Mailing Address - Phone:206-778-0759
Mailing Address - Fax:
Practice Address - Street 1:62 MADEIRA CT
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-3189
Practice Address - Country:US
Practice Address - Phone:206-778-0759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69961183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist