Individual
KRISSY MARIE SWEUM KORNELIUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18906 SR 2, MONROE, WA 98272-1415
(360) 794-0943
(336) 079-4924
Mailing address
18906 SR 2, MONROE, WA 98272-1415
(360) 794-0943
(336) 079-4924
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
WA
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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