Individual
KRISTA NOULLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10017 RENTON AVE S, SEATTLE, WA 98178-2256
(206) 898-8112
Mailing address
10017 RENTON AVE S, SEATTLE, WA 98178-2256
(206) 898-8112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00013941
WA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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