Individual
ELIZABETH KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17202 15TH AVE NE, SHORELINE, WA 98155-5130
(206) 364-4618
Mailing address
17202 15TH AVE NE, SHORELINE, WA 98155-5130
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60789747
WA
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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