Individual
ELIZABETH MALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10830 LAKE VIEW DR, LAKE STEVENS, WA 98258-9580
(425) 770-0988
Mailing address
10830 LAKE VIEW DR, LAKE STEVENS, WA 98258-9580
(425) 770-0988
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA60486686
WA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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