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Individual

MRS. REBECCA LYNN MORRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
11614A 35TH AVE SE, EVERETT, WA 98208-5306
(425) 791-1055
(425) 948-6509
Mailing address
11614A 35TH AVE SE, EVERETT, WA 98208-5306
(425) 791-1055
(425) 948-6509

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60133333
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0270227
LNI
WA
Enumeration date
01/29/2011
Last updated
01/29/2011
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