Individual
MRS. DEEANNA KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10511B 224TH AVE E, BUCKLEY, WA 98321-9251
(253) 334-7847
(253) 299-6205
Mailing address
10511B 224TH AVE E, BUCKLEY, WA 98321-9251
(253) 334-7847
(253) 299-6205
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020351
WA
Other
Enumeration date
05/10/2008
Last updated
05/10/2008
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