Individual
KETSIRI SEREEWUTTANAWUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
630 228TH AVE NE, SAMMAMISH, WA 98074-7241
(312) 928-9279
Mailing address
630 228TH AVE NE, SAMMAMISH, WA 98074-7241
(312) 928-9279
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61458469
WA
Other
Enumeration date
09/13/2024
Last updated
09/25/2024
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