Individual
KEI MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12405 NE 85TH ST, KIRKLAND, WA 98033-8032
(425) 822-9202
Mailing address
12618 109TH CT NE APT H304, KIRKLAND, WA 98034-6496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61045906
WA
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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