Individual
MISS MARILYN A BLANCO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
17633 HIGHWAY 99, LYNNWOOD, WA 98037-3627
(425) 743-7555
Mailing address
13426 GREENWOOD AVE N, APT. # 103, SEATTLE, WA 98133-1801
(206) 291-6303
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00061578
WA
Other
Enumeration date
12/31/2005
Last updated
07/08/2007
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