Individual
AVIONNE MAKAYLA PRIDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
551 S MARKET BLVD, CHEHALIS, WA 98532-3045
(360) 748-8801
(360) 748-1605
Mailing address
551 S MARKET BLVD, CHEHALIS, WA 98532-3045
(360) 748-8801
(360) 748-1605
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA61315926
WA
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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