Individual
KIDANE REZENE TESFAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
9000 RAINIER AVE S, SEATTLE, WA 98118-5017
(206) 760-1076
Mailing address
13765 56TH AVE S, TUKWILA, WA 98168-4763
(206) 694-3668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH 60127454
WA
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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