Individual
CONNIE J KLAGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1809 100TH PL SE, EVERETT, WA 98208-3829
(425) 357-1809
(425) 357-8519
Mailing address
10805 39TH DR SE, EVERETT, WA 98208-5428
(425) 357-1809
(425) 357-8519
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
PT00005242
WA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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