Individual
MISS PANTHAYA SHATHIRIS FLOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
25725 101ST AVE SE, KENT, WA 98030-6412
(206) 650-9680
Mailing address
927 4TH AVE N, UNIT #1, KENT, WA 98032-3008
(206) 650-9680
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021759
WA
Other
Enumeration date
11/16/2006
Last updated
03/31/2015
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