Individual
DANA MAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
802 134TH ST SW STE 140, EVERETT, WA 98204-7314
(800) 607-6861
Mailing address
10417 9TH AVE S, SEATTLE, WA 98168-1514
(425) 205-9079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61451342
WA
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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