Individual
JOO YONG NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1195 BOBLETT ST, BLAINE, WA 98230-4062
(360) 332-1616
Mailing address
1195 BOBLETT ST, BLAINE, WA 98230-4062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60679522
WA
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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