Individual
DR. MARY WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LMP
Contact information
Practice address
6830 NE BOTHELL WAY # C-105, KENMORE, WA 98028-3546
(704) 577-1532
Mailing address
6830 NE BOTHELL WAY # C-105, KENMORE, WA 98028-3546
(704) 577-1532
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT60796387
WA
225700000X
Massage Therapist
MA60236962
WA
Other
Enumeration date
08/31/2015
Last updated
10/30/2017
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