Individual
CARRIE D HYLDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, EOT
Contact information
Practice address
8713 12TH ST NE, LAKE STEVENS, WA 98258-2413
(425) 273-4911
(425) 374-8857
Mailing address
8713 12TH ST NE, LAKE STEVENS, WA 98258-2413
(425) 273-4911
(425) 374-8857
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00022633
WA
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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