Individual
MRS. KIM E DANA-MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCO
Contact information
Practice address
4009 COLBY AVE, EVERETT, WA 98201-4928
(206) 498-3909
Mailing address
4009 COLBY AVE, EVERETT, WA 98201-4928
(206) 498-3909
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OI60218712
WA
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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