Individual
KAILEY ANNE MATULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21630 84TH AVE W, EDMONDS, WA 98026
(425) 774-3042
Mailing address
19918 DAMSON RD, LYNNWOOD, WA 98036
(425) 246-6234
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
WA
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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