Individual
MRS. MARIA R. NEWSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22117 SE 237TH ST, MAPLE VALLEY, WA 98038-8533
(425) 432-1234
Mailing address
26802 166TH PL SE, COVINGTON, WA 98042-5804
(253) 631-5357
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00067023
WA
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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