Individual
MARIAH ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12911 SOUTHEAST KENT KANGLEY ROAD, KENT, WA 98030
(253) 277-0029
Mailing address
12911 SOUTHEAST KENT KANGLEY ROAD, KENT, WA 98030
(253) 277-0029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60592248
WA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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