Individual
MISS MICHELLE CARMELLE ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 6TH AVE, TACOMA, WA 98406-4014
(253) 314-2660
Mailing address
3802 N 27TH ST, TACOMA, WA 98407-5813
(253) 283-5074
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA61645257
WA
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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