Individual
LARA SHARMAINE SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1562 NE 177TH ST APT 210, SHORELINE, WA 98155-5256
(347) 484-3055
Mailing address
1562 NE 177TH ST APT 210, SHORELINE, WA 98155-5256
(347) 484-3055
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
60335367
WA
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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