Individual
JAESUN LEE DAHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2902 164TH ST SW, LYNNWOOD, WA 98087-3201
(425) 787-4900
Mailing address
16629 44TH AVE W, LYNNWOOD, WA 98037-3127
(206) 539-6595
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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