Individual
NICCOLE COCHRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
402 E MAIN ST STE 160, AUBURN, WA 98002-5550
(253) 333-2375
Mailing address
1313 RIDDELL AVE NE, ORTING, WA 98360-7444
(253) 333-2375
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020787
WA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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