Individual
JAMES VINCENT AGBAYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3282 BETHEL RD SE, PORT ORCHARD, WA 98366-5603
(360) 876-0969
Mailing address
4820 71ST AVENUE CT W, UNIVERSITY PLACE, WA 98467-3213
(808) 292-3176
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60564463
WA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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