Individual
TONI RENE BUSHNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15033 HWY 99, SUITE A, LYNNWOOD, WA 98087-2363
(425) 218-3295
Mailing address
15033 HWY 99, SUITE A, LYNNWOOD, WA 98087-2363
(425) 218-3295
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00019887
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195906
DEPARTMENT OF LABOR AND I
WA
Enumeration date
07/17/2007
Last updated
07/17/2007
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