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Individual

GRACE GANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH, CGP

Contact information

Practice address
16125 JUANITA-WOOD WAY NE UNIT 2214, BOTHELL, WA 98011-9444
(206) 419-0482
Mailing address
16125 JUANITA-WOOD WAY NE UNIT 2214, BOTHELL, WA 98011-9444
(206) 419-0482

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00045962
WA
1835G0303X
Geriatric Pharmacist
PH00045962
WA

Other

Enumeration date
08/11/2006
Last updated
02/01/2008
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