Individual
DEBORAH IM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 543-7250
Mailing address
BOX 359608, 325 NINTH AVE, SEATTLE, WA 98104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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