Individual
CONSTANCE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
805 4TH AVE N, SEATTLE, WA 98109
(206) 271-6687
Mailing address
9801 45TH AVE SW, SEATTLE, WA 98136-2710
(206) 271-6687
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00023042
WA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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