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Individual

LEAH MARIES GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
7815 GREENWOOD AVE N, SEATTLE, WA 98103-4633
(206) 706-7575
Mailing address
4636 FOWLER AVE APT 73, EVERETT, WA 98203-2737
(714) 914-8350

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
60897217
WA

Other

Enumeration date
11/19/2018
Last updated
11/19/2018
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