Individual
LYNDA MAE MOWILOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
15220 SE 272ND ST STE G, KENT, WA 98042-4241
(253) 630-6768
(253) 630-6639
Mailing address
15220 SE 272ND ST STE G, KENT, WA 98042-4241
(253) 630-6768
(253) 630-6639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024669
WA
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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