Individual
ANNELIESE BODDING-LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356015, SEATTLE, WA 98195-0001
(206) 598-6062
Mailing address
1959 NE PACIFIC ST, BOX 356015, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60283437
WA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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