Individual
COLENE JOYCE ANGKICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14901 4TH AVE SW, BURIEN, WA 98166-1906
(206) 242-1202
Mailing address
14901 4TH AVE SW, BURIEN, WA 98166-1906
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA61259034
WA
333600000X
Pharmacy
VA61259034
WA
Other
Enumeration date
10/25/2022
Last updated
10/26/2022
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