Individual
CHISOM EZENWOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
16735 SE 272ND ST, COVINGTON, WA 98042-4942
(206) 883-6501
Mailing address
6503 43RD AVE S, SEATTLE, WA 98118-3301
(206) 883-6501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60475633
WA
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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