Individual
DAN KWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5106 88TH STREET CT SW APT A305, LAKEWOOD, WA 98499-3136
(253) 389-6461
Mailing address
5106 88TH CT SW APT A305, LAKEWOOD, WA 98499
(253) 512-0960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH45841
WA
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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