Individual
VIVIAN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4727 DENVER AVE S, SEATTLE, WA 98134
(206) 763-2626
Mailing address
4727 DENVER AVE S, SEATTLE, WA 98134
(206) 763-2626
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA60140503
WA
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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