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Individual

ALICIA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1010 S HENDERSON ST, SUITE B, SEATTLE, WA 98108-4769
(206) 548-6125
Mailing address
1010 S HENDERSON ST, SUITE B, SEATTLE, WA 98108-4769
(206) 548-6125

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
603417746
WA

Other

Enumeration date
07/22/2014
Last updated
07/22/2014
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