Individual
LACEE MALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26015 SE 159TH PL, ISSAQUAH, WA 98027-8234
(801) 414-5738
Mailing address
26015 SE 159TH PL, ISSAQUAH, WA 98027-8234
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
WA
Other
Enumeration date
01/05/2020
Last updated
01/05/2020
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