Individual
AMANO N GOBENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7631 212TH ST SW, EDMONDS, WA 98026-7565
(425) 977-4880
(425) 977-4881
Mailing address
15501 NE 12TH ST APT C341, BELLEVUE, WA 98007-4563
(206) 766-0185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
60647271
WA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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