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Individual

MRS. BRENDA HAWLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.M.P.

Contact information

Practice address
318 2ND ST S, KIRKLAND, WA 98033-6513
(425) 803-3093
Mailing address
15406 135TH PL NE, WOODINVILLE, WA 98072-5512
(425) 482-3447

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA5904
WA

Other

Enumeration date
03/23/2007
Last updated
07/08/2007
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