Individual
ANAYA THETA DESTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2226 EASTLAKE AVE E #282, SEATTLE, WA 98102-3419
(206) 451-7416
Mailing address
2226 EASTLAKE AVE E # 282, SEATTLE, WA 98102-3419
(206) 451-7416
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00017294
WA
Other
Enumeration date
01/30/2008
Last updated
02/14/2017
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