Individual
MRS. KATHLEEN HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
400 E PIONEER AVE, SUITE 208, PUYALLUP, WA 98372-3255
(253) 973-1659
Mailing address
400 E PIONEER AVE, SUITE 208, PUYALLUP, WA 98372-3255
(253) 973-1659
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00009984
WA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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