Individual
ELISE NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11700 MUKILTEO SPEEDWAY STE 500, MUKILTEO, WA 98275-5435
(425) 514-0620
(425) 348-3041
Mailing address
1900 106TH AVE SE, LAKE STEVENS, WA 98258-1959
(206) 953-3330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00069492
WA
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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