Individual
REBECCA LYNN BLIVEN DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9633 MARKET PL, #103, LAKE STEVENS, WA 98258-7944
(425) 335-0300
Mailing address
9633 MARKET PL, #103, LAKE STEVENS, WA 98258-7944
(425) 335-0300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60245105
WA
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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