Individual
KAREN DIANE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 SIDNEY AVE, APT 1-201, PORT ORCHARD, WA 98366
(801) 391-1569
Mailing address
1800 SIDNEY AVE, APT 1-201, PORT ORCHARD, WA 98366
(801) 391-1569
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
6903399-1717
UT
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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