Individual
EVAN DEZEEUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
36703 SE SUNSET VIEW RD, WASHOUGAL, WA 98671-6768
(513) 604-6603
Mailing address
36703 SE SUNSET VIEW RD, WASHOUGAL, WA 98671-6768
(513) 604-6603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015883
OR
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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