Individual
MS. LORRI ANN MIZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21630 84TH AVE W, EDMONDS, WA 98026-7818
(425) 774-3042
Mailing address
9331 BOWDOIN WAY, EDMONDS, WA 98020-3324
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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