Individual provider · NPI-1

Manju Bala Bansal

Pharmacy Technician · Seattle, WA

NPI number1265140040
StatusActive
Last updated in NPPESNov 9, 2022

Details

NPI
1265140040
Entity type
Individual (NPI-1)
Name
Mrs. Manju Bala Bansal
Sex
Female
Sole proprietor
No
Enumeration date
Nov 9, 2022
Certification date
Nov 9, 2022
Last updated
Nov 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183700000X Pharmacy Technicianva61277149WAYes

Practice location

4733 17th Ave Ne Apt 18
Seattle, WA 98105-4239

Phone 206-551-9600

Mailing address

4733 17th Ave Ne Apt 18
Seattle, WA 98105-4239

Phone 206-551-9600

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