Individual
ANNIE MIAO TIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6191 118TH AVE SE, BELLEVUE, WA 98006-6355
(425) 503-1620
Mailing address
6191 118TH AVE SE, BELLEVUE, WA 98006-6355
(425) 503-1620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60336364
WA
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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