Individual
KAILEY ANN PAAVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
230 KELSO DR, KELSO, WA 98626-3112
(360) 577-2693
Mailing address
118 ROLEY CT, KELSO, WA 98626-9653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61067600
WA
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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