Individual
MISA SHIMIZU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8641 9TH AVE SW, SEATTLE, WA 98106-2514
(206) 303-0673
Mailing address
8641 9TH AVE SW, SEATTLE, WA 98106-2514
(206) 303-0673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60040377
WA
Other
Enumeration date
04/10/2009
Last updated
04/29/2013
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