Individual
BETH LUDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
13200 HADFIELD RD SE, OLALLA, WA 98359-9540
(253) 678-6118
Mailing address
13200 HADFIELD RD SE, OLALLA, WA 98359-9540
(253) 678-6118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60487445
WA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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