Individual
KHOA CONG LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4124 148TH AVE NE, REDMOND, WA 98052-5164
(425) 968-8766
Mailing address
5071 MITHUN PL NE, SEATTLE, WA 98105-2951
(360) 359-0307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61082385
WA
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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