Individual
MR. LEIF ERNST BAREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1725 S BURLINGTON BLVD, BURLINGTON, WA 98233-3223
(360) 757-5702
Mailing address
17193 W BIG LAKE BLVD, MOUNT VERNON, WA 98274-8375
(360) 757-5702
(360) 757-5709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010492
WA
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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