Individual
KATIE LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 4TH AVE, SEATTLE, WA 98101-1607
(206) 624-1370
Mailing address
630 13TH AVE E APT 3, SEATTLE, WA 98102-5177
(858) 717-1533
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60503799
WA
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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