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Physicians Psychiatry & Neurology Psychiatry

Provider NPI: 1114036381

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
823 3RD ST  KIRKLAND, WA 98033-5540 US
Tel: 206-276-6175  Fax: --

Business Mailing Address:
823 3RD ST  KIRKLAND, WA 98033-5540 US
Tel: 206-276-6175  Fax: --

NPI Information:
NPI: 1114036381
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Psychiatry & Neurology
WAMD 23899

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2084P0800X





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