Individual
MRS. HALLI BRODER WALDBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
8862 161ST AVE NE, REDMOND, WA 98052-7553
(425) 883-4882
Mailing address
24002 SE 12TH PL, SAMMAMISH, WA 98075-8151
(425) 394-0139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00041078
WA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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