Individual
MRS. VASHTI SHOUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7129 150TH ST SW, LAKEWOOD, WA 98439-2007
(253) 292-7175
Mailing address
7129 150TH ST SW, LAKEWOOD, WA 98439-2007
(253) 292-7175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60240930
WA
Other
Enumeration date
03/08/2012
Last updated
12/03/2013
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