Individual
ELVIRA P GEYDAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10407 SE 256TH ST, KENT, WA 98030-6366
(253) 854-5343
Mailing address
27129 122ND PL SE, KENT, WA 98030-5414
(425) 240-9785
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA60996135
WA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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