Individual
TANIA MELVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RX TECH
Contact information
Practice address
621 SR 9, LAKE STEVENS, WA 98258-8525
(425) 334-4028
Mailing address
621 SR 9, LAKE STEVENS, WA 98258-8525
(425) 334-4028
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00042845
WA
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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