Individual
MRS. KATIA LYNETTE LINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
11615 45TH DR SE, EVERETT, WA 98208-9158
(206) 730-6197
Mailing address
11615 45TH DR SE, EVERETT, WA 98208-9158
(206) 730-6197
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018919
WA
Other
Enumeration date
05/15/2007
Last updated
12/16/2019
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