Individual
LISA TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
706 S KING ST APT 3, SEATTLE, WA 98104-3030
(206) 235-9047
Mailing address
706 S KING ST APT 3, SEATTLE, WA 98104-3030
(206) 235-9047
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
131458
CA
183700000X
Pharmacy Technician
VA60333417
WA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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