Individual
BROOK HENNEFER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
22117 SE 237TH ST, MAPLE VALLEY, WA 98038-8533
(425) 432-1234
(425) 432-6756
Mailing address
18303 107TH STREET CT E, BONNEY LAKE, WA 98391-6056
(253) 826-6689
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00052418
WA
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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