Individual
KATHLEEN HANDSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7438 S D AVE, SUITE C, CONCRETE, WA 98237-9642
(360) 853-8109
(363) 853-8353
Mailing address
7438 S D AVE, SUITE C, CONCRETE, WA 98237-9642
(360) 853-8109
(363) 853-8353
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00010976
WA
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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