Individual
KRYSTA LEE SHOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
16303 HWY 99, SUITE 2B, LYNNWOOD, WA 98087-1453
(425) 242-4884
(425) 743-9409
Mailing address
2141 N 113TH ST, APT# 201, SEATTLE, WA 98133-8580
(206) 430-8355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60214993
WA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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