Individual
SHELLY KAYE NEWCOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4860 RAINIER AVE S, SEATTLE, WA 98118-6305
(206) 551-9460
Mailing address
4860 RAINIER AVE S, SEATTLE, WA 98118-6305
(206) 551-9460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00008350
WA
Other
Enumeration date
02/03/2007
Last updated
02/18/2015
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