Individual
CONNOR TRISTRAM MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
VA 30175052
Contact information
Practice address
18022 68TH AVE NE, KENMORE, WA 98028-2400
(425) 424-2320
Mailing address
18022 68TH AVE NE, KENMORE, WA 98028-2400
(425) 221-9382
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30175052
WA
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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