Individual
KRISTINE ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7500 196TH ST SW STE A, LYNNWOOD, WA 98036-5090
(425) 774-6669
Mailing address
7500 196TH ST SW STE A, LYNNWOOD, WA 98036-5090
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60451847
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH 60451847
STATE CREDENTIAL NUMBER
WA
Enumeration date
09/22/2014
Last updated
09/22/2014
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