Individual
LAURA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10223 GRAVELLY LAKE DR SW, TACOMA, WA 98499-5004
(253) 581-2072
Mailing address
10223 GRAVELLY LAKE DR SW, TACOMA, WA 98499-5004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60398718
WA
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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