Individual
KIMBERLY DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 MARYSVILLE MALL, MARYSVILLE, WA 98270-5501
(360) 653-8019
Mailing address
6406 69TH DR NE, MARYSVILLE, WA 98270-6584
(360) 653-1307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH0000134
WA
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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