Individual
RISA BENIYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 E LAKE SAMMAMISH PKWY SE, ISSAQUAH, WA 98029-8914
(425) 391-1765
Mailing address
5700 E LAKE SAMMAMISH PKWY SE, ISSAQUAH, WA 98029-8914
(425) 391-1765
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA60270782
WA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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