Individual
MASOUD EDALATIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
600 1ST AVE N, SEATTLE, WA 98109-4001
(206) 284-1354
(206) 378-6060
Mailing address
14614 78TH AVE NE, KENMORE, WA 98028-4628
(425) 402-1985
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00019260
WA
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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