Individual
MISS KELLY MARIE LETOURNEAU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHT
Contact information
Practice address
4700 NE 4TH ST, RENTON, WA 98059-4800
(425) 793-1015
Mailing address
300 VUEMONT PL NE, #N204, RENTON, WA 98056-4504
(206) 617-1202
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
V46538
WA
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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