Individual
ADRIAN NATAWIDJAJA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
4727 DENVER AVE S, SEATTLE, WA 98134-2316
(206) 763-2626
Mailing address
2237 N 106TH ST, APT 231, SEATTLE, WA 98133-9552
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00057980
WA
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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