Individual
BRENDON ISAAC MATSUDA-FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4025 DELRIDGE WAY SW STE 400, SEATTLE, WA 98106-1273
(206) 763-2626
Mailing address
4025 DELRIDGE WAY SW STE 400, SEATTLE, WA 98106-1273
(206) 763-2626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60790694
WA
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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