Individual
MARY ELLEN PFEIFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A., L.M.P.
Contact information
Practice address
7621 171ST AVENUE CT E, BONNEY LAKE, WA 98391-7169
(253) 863-4714
Mailing address
7621 171ST AVENUE CT E, BONNEY LAKE, WA 98391-7169
(253) 863-4714
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100617
LABOR AND INDUSTRIES
WA
Enumeration date
05/24/2007
Last updated
07/08/2007
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