Individual
BOTHAINA MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
947 POWELL AVE SW STE 100, RENTON, WA 98057-2975
(425) 277-1311
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60385563
WA
Other
Enumeration date
09/20/2015
Last updated
07/09/2025
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