Individual
MALIA PATICIA JEAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
530 S 336TH ST, SUITE C, FEDERAL WAY, WA 98003-6383
(253) 874-3857
Mailing address
33040 22ND PL S, FEDERAL WAY, WA 98003-6856
(206) 793-2355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60404048
WA
Other
Enumeration date
02/28/2015
Last updated
02/28/2015
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