Individual
MS. SHELLY IRENE EILO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
14130 JUANITA DR NE, SUITE #107, BOTHELL, WA 98011-4927
(425) 821-6275
(425) 820-2477
Mailing address
15923 HWY 99, APT B-209, LYNNWOOD, WA 98087-1454
(425) 742-4854
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00042844
WA
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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