Individual
CARISSA NICHOLE GARRARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
12811 SE 38TH ST, BELLEVUE, WA 98006-1326
(425) 378-1800
Mailing address
12811 SE 38TH ST, BELLEVUE, WA 98006-1326
(425) 378-1800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022500
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215669
L&I
WA
Enumeration date
08/01/2007
Last updated
08/01/2007
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