Individual
MARY WALGAMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1220 116TH AVE NE STE 101, BELLEVUE, WA 98004-3826
(425) 637-0094
Mailing address
1220 116TH AVE NE STE 101, BELLEVUE, WA 98004-3826
(425) 637-0094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00016409
WA
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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