Individual
CARMEN LY THONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 WASHINGTON AVE S, KENT, WA 98032-5721
(253) 852-5115
Mailing address
4310 CHEASTY BLVD S, SEATTLE, WA 98108-1553
(206) 403-3562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IR60885572
WA
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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