Individual
KIRIN WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
617 3RD AVE W, #301, SEATTLE, WA 98119-3885
(425) 736-6349
Mailing address
10021 HOLMAN RD NW, SEATTLE, WA 98177-4920
(425) 736-6349
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60431276
WA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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