Individual
LEAN ARIANE PUNO STA MARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
2009 201ST ST E, SPANAWAY, WA 98387-4110
(504) 491-9134
Mailing address
2009 201ST ST E, SPANAWAY, WA 98387-4110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60718480
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60718480
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
02/22/2018
Last updated
02/22/2018
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