Individual
HASSANA IREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 COOPER POINT RD NW, SUITE 105, OLYMPIA, WA 98502-4436
(360) 754-8014
(360) 754-0778
Mailing address
9404 FAGAN CT NE, LACEY, WA 98516-6600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60001494
WA
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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