Individual
KENT PAK NUTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
3902 A ST SE, AUBURN, WA 98002-8610
(253) 939-8563
(253) 939-0869
Mailing address
8313 S SHERIDAN AVE, TACOMA, WA 98408-1919
(253) 332-3108
(253) 939-0869
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00041946
WA
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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