Individual
KATHILEEN BOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 12TH AVE NE, SEATTLE, WA 98115-6754
(206) 525-3754
Mailing address
129 21ST AVE E APT 1, SEATTLE, WA 98112-5327
(206) 525-3754
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60476081
WA
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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