Individual
MONICA HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4704 PACIFIC AVE. SE, SUITE B, LACEY, WA 98503
(360) 438-6001
Mailing address
4704 PACIFIC AVE. SE, SUITE B, LACEY, WA 98503
(360) 438-6001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60138905
WA
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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