Individual
MRS. CHRISTY JAYNE RUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
13719 NE 223RD CT, BRUSH PRAIRIE, WA 98606-5620
(360) 891-1094
Mailing address
13719 NE 223RD CT, BRUSH PRAIRIE, WA 98606-5620
(360) 891-1094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00022060
WA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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