Individual
KALIE DANYALE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1115 13TH ST, SNOHOMISH, WA 98290-2012
(360) 568-0548
Mailing address
1115 13TH ST, SNOHOMISH, WA 98290-2012
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA61128778
WA
183700000X
Pharmacy Technician
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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