Individual
MRS. EMILLY MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 GROVE ST, MARYSVILLE, WA 98270-3630
(360) 657-7358
Mailing address
1119 GROVE ST, MARYSVILLE, WA 98270-3630
(360) 657-7358
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
MA 60716375
WA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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