Individual
MS. MACEY ROYANN BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LA,LMP
Contact information
Practice address
202 W GOWE ST, SUITE B, KENT, WA 98032-5858
(253) 854-2499
Mailing address
202 W GOWE ST, SUITE B, KENT, WA 98032-5858
(253) 854-2499
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023363
WA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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