Individual
PAULA J RIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3920 W TAPPS DR E, LAKE TAPPS, WA 98391-9176
(253) 310-5333
(253) 826-4792
Mailing address
PO BOX 610, SUMNER, WA 98390-0110
(253) 310-5333
(253) 826-4792
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00023762
WA
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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