Individual
LIYA W TSEGAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH
Contact information
Practice address
4412 RAINIER AVE S, SEATTLE, WA 98118-1373
(206) 760-7880
Mailing address
912 N 96TH ST APT 226, SEATTLE, WA 98103-3273
(206) 446-5636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61059281
WA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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