Individual
CELITA LOUISE SUMMERRISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27520 COVINGTON WAY SE, COVINGTON, WA 98042
(253) 796-1011
Mailing address
4045 S 212TH CT, UNIT C, SEATAC, WA 98198
(206) 683-4765
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60240463
WA
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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