Individual
MRS. SUSIE L ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27731 246TH AVE SE, MAPLE VALLEY, WA 98038-2018
(425) 413-1531
Mailing address
27731 246TH AVE SE, MAPLE VALLEY, WA 98038-2018
(425) 413-1531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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