Individual
DIANA KEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
18110 SE 34TH ST STE 270, VANCOUVER, WA 98683-9440
(800) 330-3665
Mailing address
18110 SE 34TH ST STE 270, VANCOUVER, WA 98683-9440
(800) 330-3665
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60575221
WA
Other
Enumeration date
09/09/2015
Last updated
01/11/2021
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