Individual
BRYANNA LYNN WELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 SE 192ND AVE, VANCOUVER, WA 98683-9531
(360) 256-6361
Mailing address
1228 58TH PL SW, EVERETT, WA 98203-5910
(425) 760-4721
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61061250
WA
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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