AI THI PHAN-TANG

RENTON, WA
NPI1841595576
Former NameAI THI TANG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WA  ph00048806)
Enumeration Date2011-01-11
Last Update Date2011-01-11
Business Address
-- AI THI PHAN-TANG pharmacist
3011 NE SUNSET BLVD
RENTON, WA 98056-3101
Phone number: 425-207-0053
Mailing Address
-- AI THI PHAN-TANG pharmacist
3011 NE SUNSET BLVD
RENTON, WA 98056-3101
Phone number: 425-207-0053