Individual
MELADINE E SIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22803 44TH AVE W STE B, MOUNTLAKE TERRACE, WA 98043-5032
(425) 771-3738
(425) 776-1190
Mailing address
14915 72ND PL NE, KENMORE, WA 98028-4916
(206) 295-2708
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
60780008
WA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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