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Individual

CARRIE NICOLE DE VAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPC, CPRC

Contact information

Practice address
16225 NE 87TH ST STE 160, REDMOND, WA 98052-3536
(206) 901-2000
Mailing address
451 4TH AVE S APT 307, KIRKLAND, WA 98033-3610
(206) 280-6312

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
WA

Other

Enumeration date
06/06/2021
Last updated
06/16/2025
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