Individual
DONNA PEARL TAEZA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
5500 OLYMPIC DR, GIG HARBOR, WA 98335-1487
(253) 858-7455
(253) 858-7460
Mailing address
2992 OLYMPUS DR, BREMERTON, WA 98310-4619
(360) 377-0743
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00046071
WA
Other
Enumeration date
12/06/2005
Last updated
07/08/2007
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