Individual
THERESA DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 NE 162ND AVE, VANCOUVER, WA 98682-8504
(360) 259-5614
Mailing address
2800 NE 162ND AVE, VANCOUVER, WA 98682-8504
(360) 253-5614
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0001991
OR
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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