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Individual

DR. TRACY S MCDANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ND,LM

Contact information

Practice address
6327 22ND AVE NE, SEATTLE, WA 98115-6919
(206) 363-5555
(206) 363-5533
Mailing address
6327 22ND AVE NE, SEATTLE, WA 98115-6919
(206) 363-5555
(206) 363-5533

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT1136
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3567MC
REGENCE
WA
05
8352494
WA
Enumeration date
10/27/2005
Last updated
09/18/2019
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