Individual
MS. MADISON CLAIR EMRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4017 A STREET SE, B101, AUBURN, WA 98002
(253) 939-8144
(253) 939-2289
Mailing address
11002 62ND AVE E, 8-303, PUYALLUP, WA 98373-5834
(253) 324-6419
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60503660
WA
Other
Enumeration date
02/26/2016
Last updated
01/15/2017
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