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Individual

MS. GRACE G BALTAZAR

Active
Sole proprietor

Provider details

NPI number
Gender
F

Contact information

Practice address
1407 BROADWAY, SEATTLE, WA 98122-3854
(206) 726-3495
(206) 726-3498
Mailing address
1527 14TH AVE S, APT 202, SEATTLE, WA 98144-7418
(206) 251-9184

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00040016
WA

Other

Enumeration date
12/13/2005
Last updated
07/08/2007
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