Individual
LISA DAWN PAMINTUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
21540 30TH DR SE STE 220, BOTHELL, WA 98021-7015
(206) 341-0646
Mailing address
21540 30TH DR SE STE 220, BOTHELL, WA 98021-7015
(206) 341-0646
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00047618
WA
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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