Individual
MS. ROXANNE FAIRFAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18960 STATE ROUTE 2, SUITE 130, MONROE, WA 98272-1415
(425) 319-0848
(360) 794-3184
Mailing address
4529 103RD AVE SE, EVERETT, WA 98205-3106
(425) 319-0848
(360) 794-3184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019523
WA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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