Individual
COLLEEN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 WASHINGTON AVE S, KENT, WA 98032-5721
(253) 852-5115
Mailing address
210 WASHINGTON AVE S, KENT, WA 98032-5721
(253) 852-5115
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61319066
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH61319066
PHARMACIST LICENSE
WA
Enumeration date
09/16/2022
Last updated
09/16/2022
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