Individual
FATEN ITANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 S COMMONS, FEDERAL WAY, WA 98003-6023
(253) 733-7521
Mailing address
2201 S COMMONS, FEDERAL WAY, WA 98003-6023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60310729
WA
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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