Individual
HUYEN THI PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17404 MERIDIAN E, PUYALLUP, WA 98375-6234
(253) 445-7873
(253) 445-7867
Mailing address
12247 2ND AVE S, SEATTLE, WA 98168-2029
(404) 641-9039
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60134512
WA
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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