Individual
KARI WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA 00016739
Contact information
Practice address
11901 94TH AVE E, PUYALLUP, WA 98373-5050
(253) 921-5585
Mailing address
11901 94TH AVE E, PUYALLUP, WA 98373-5050
(253) 921-5585
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA000167139
WA
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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