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Individual

MS. CONSTANCE CRANDALL WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.PH.

Contact information

Practice address
22803 44TH AVE W, MOUNTLAKE TERRACE, WA 98043-5032
(425) 771-3738
Mailing address
22803 44TH AVE W, MOUNTLAKE TERRACE, WA 98043-5032
(425) 771-3738

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
29433
CA
183500000X
Pharmacist
Primary
PH00009797
WA

Other

Enumeration date
01/09/2006
Last updated
06/05/2008
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