Individual
KIMBERLY MARIE REISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 JAHN AVE NW, SUITE A-7, GIG HARBOR, WA 98335-8900
(253) 857-6500
(253) 857-2225
Mailing address
2601 JAHN AVE NW, SUITE A-7, GIG HARBOR, WA 98335-8900
(253) 857-6500
(253) 857-2225
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60100431
WA
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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