Individual
CELESTE MICHELE WANDKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 BEACH DR E, PORT ORCHARD, WA 98366-4937
(360) 895-4687
Mailing address
PO BOX 2055, PORT ORCHARD, WA 98366-0738
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00040303
WA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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