Individual
BAO-A TRAM THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14656 AMBAUM BLVD SW, BURIEN, WA 98166-1810
(206) 901-1816
Mailing address
14656 AMBAUM BLVD SW, BURIEN, WA 98166-1810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60095597
WA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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