Individual
AMY K BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1112 FINNEGAN WAY, BELLINGHAM, WA 98225-6622
(360) 527-9566
Mailing address
1336 IRON ST, BELLINGHAM, WA 98225-4938
(360) 303-8457
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60302940
WA
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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