Individual
MRS. TANYA ANN KELLENBERGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 130TH PL SE, EVERETT, WA 98208-6747
(206) 767-1387
Mailing address
2810 130TH PLACE S.E., EVERETT, WA 98208
(206) 767-1387
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00041922
WA
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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