Individual
ANGIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH60460468
Contact information
Practice address
932 E FRONT ST, PORT ANGELES, WA 98362-4015
(360) 457-4456
Mailing address
232 BURNETT AVE S, B104, RENTON, WA 98057-2107
(253) 720-4425
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60460468
WA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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