Individual
ETSUKO TAKADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19620 19TH AVE NE, SHORELINE, WA 98155-1209
(269) 599-8056
(269) 599-8056
Mailing address
19620 19TH AVE NE, SHORELINE, WA 98155-1209
(269) 599-8056
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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