DESARONE CHANTHAVONG

VANCOUVER, WA
NPI1912208232
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WA  ph00017390)
Enumeration Date2010-11-03
Last Update Date2010-11-03
Business Address
-- DESARONE CHANTHAVONG rph
11696 NE 76TH ST
VANCOUVER, WA 98662-3941
Phone number: 360-944-2665
Mailing Address
-- DESARONE CHANTHAVONG rph
11696 NE 76TH ST
VANCOUVER, WA 98662-3941
Phone number: 360-944-2665
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