Individual
LE DU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 LILLY RD NE, MS: LLH10, OLYMPIA, WA 98506-5133
(360) 493-5409
Mailing address
3318 AURORA ST NE, LACEY, WA 98516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60556903
WA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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