Individual
DR. MASON EDWARD WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
33431 13TH PL S, FEDERAL WAY, WA 98003-6357
(253) 874-7634
(253) 874-7635
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60601241
WA
Other
Enumeration date
10/02/2015
Last updated
01/17/2025
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