Individual
MS. RENEE VIRGINIA THELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECH
Contact information
Practice address
1115 13TH ST, SNOHOMISH, WA 98290-2012
(360) 568-0548
(360) 568-5151
Mailing address
1115 13TH ST, SNOHOMISH, WA 98290-2012
(360) 568-0548
(360) 568-5151
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
VA00066731
WA
Other
Enumeration date
11/23/2007
Last updated
09/11/2008
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