Individual
MRS. DELL ELIZABETH REISTAD IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
13023 GREENWOOD AVE N, SEATTLE, WA 98133-7308
(206) 834-2548
Mailing address
13023 GREENWOOD AVE N, SEATTLE, WA 98133-7308
(206) 834-2548
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OT 00003687
WA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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