Individual
ELIZABETH TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1601 N 52ND ST, SEATTLE, WA 98103-6109
(206) 915-9533
Mailing address
818 W CROCKETT ST, #304, SEATTLE, WA 98119-2891
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60575001
WA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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