Individual
KOREEN S. REBELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12400 E MARGINAL WAY S, TUKWILA, WA 98168-2559
(206) 901-4259
Mailing address
2225 EASTLAKE AVE E APT 108, SEATTLE, WA 98102-3438
(206) 972-0267
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00041375
WA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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