Individual
KRYSTAL ANNE GUYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 S MAIN ST, DEER PARK, WA 99006-8238
(509) 276-9016
Mailing address
412 S MAIN ST, DEER PARK, WA 99006-8238
(509) 276-9016
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA60857032
WA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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