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Individual

CECILIA SHUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
122 3RD ST NE, AUBURN, WA 98002-4013
(253) 833-7750
(253) 887-9804
Mailing address
122 3RD ST NE, AUBURN, WA 98002-4013
(253) 833-7750
(253) 887-9804

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5719
LICENSE#
WA
01
G8869082
MEDICARE LEGACY
WA
Enumeration date
01/29/2007
Last updated
04/23/2010
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