Individual
KIMBERLY CHRISTINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
205 PINE AVE, SNOHOMISH, WA 98290-2539
(360) 563-0223
(360) 563-0418
Mailing address
PO BOX 6, SULTAN, WA 98294-0006
(425) 399-6389
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA61186782
WA
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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