Individual
JUDI M DEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
721 M ST NE STE 105, AUBURN, WA 98002-4503
(253) 939-9599
(253) 804-5655
Mailing address
721 M ST NE STE 105, AUBURN, WA 98002-4503
(253) 939-9599
(253) 804-5655
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60035117
WA
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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