Individual
PAUL MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACY INTERN
Contact information
Practice address
14352 LAKE CITY WAY NE, SEATTLE, WA 98125-3620
(206) 361-9753
Mailing address
10723 24TH AVE NE, SEATTLE, WA 98125-6677
(206) 963-5683
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IR60282192
WA
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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