Individual
CHRISTA LOUISE MCVICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
213 BENDIGO BLVD. N. #3, NORTH BEND, WA 98045
(425) 241-0196
Mailing address
PO BOX 579, NORTH BEND, WA 98045-0579
(425) 241-0196
(425) 831-2244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00017671
WA
Other
Enumeration date
10/31/2006
Last updated
10/25/2007
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