Individual
MARTIN LEE DAFFORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH.
Contact information
Practice address
2512 126TH AVE NE, BELLEVUE, WA 98005-1548
(425) 256-1543
Mailing address
2512 126TH AVE NE, BELLEVUE, WA 98005-1548
(425) 256-1543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00009893
WA
Other
Enumeration date
05/17/2007
Last updated
04/08/2020
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