Connor Tristram Mcclellan, VA 30175052
NPI #1891402590 in Kenmore, Washington
Provider Information
- NPI Number
- 1891402590
- Entity Type
- Individual
- Name
- Connor Tristram Mcclellan, VA 30175052
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacy Technician
- Credential
- VA 30175052
- Enumeration Date
- Nov 2, 2022
- Last Updated
- Nov 2, 2022
Practice Location
- Address
- 18022 68TH AVE NE
- City
- Kenmore
- State
- Washington
- ZIP Code
- 98028-2400
- Phone
- (425) 424-2320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy Technician |
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