Individual
ELLEN DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
26004 104TH AVE SE, KENT, WA 98030-7677
(425) 251-4060
Mailing address
26004 104TH AVE SE, KENT, WA 98030-7677
(425) 251-4060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60297837
WA
Other
Enumeration date
05/19/2013
Last updated
05/29/2019
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