Individual
MR. RAYMUNDO SIRVELON DEGALA FELICITAS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
5031 MARTIN LUTHER KING JR WAY S, # 18, SEATTLE, WA 98118-1963
(206) 721-9129
Mailing address
5031 MARTIN LUTHER KING JR WAY S, # 18, SEATTLE, WA 98118-1963
(206) 721-9129
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00055516
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VA00055516
PHARMACY TECHNICIAN
WA
Enumeration date
11/30/2005
Last updated
07/08/2007
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