Individual
DIANA QUAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2860 NW BUCKLIN HILL RD, SILVERDALE, WA 98383-8513
(360) 692-3410
Mailing address
2860 NW BUCKLIN HILL RD, SILVERDALE, WA 98383-8513
(360) 692-3410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60485871
WA
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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