Individual
KATHERINE DOREEN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 COLBY AVE, C-WING FIRST FLOOR, EVERETT, WA 98201
(425) 261-3559
(425) 261-3560
Mailing address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-3559
(425) 261-3560
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00021175
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013906528
THIRD PARTY INSURANCES
WA
Enumeration date
09/12/2019
Last updated
09/12/2019
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