Martin Asobo Kisang

NPI #1043722432 in Gig Harbor, Washington

Provider Information

NPI Number: 1043722432
Entity Type: Individual
Name: Martin Asobo Kisang
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 25, 2017
Last Updated: Oct 25, 2017

Practice Location

Address: 4818 POINT FOSDICK DR NW
City: Gig Harbor
State: Washington
ZIP Code: 98335-1711
Phone: (253) 851-3175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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