Individual
KYLIE NEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3831 204TH AVE NE, SAMMAMISH, WA 98074-9334
(425) 891-0640
Mailing address
3831 204TH AVE NE, SAMMAMISH, WA 98074-9334
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60509865
WA
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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