Individual
MRS. ANISA GREEN WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CN, LMP
Contact information
Practice address
13116 NE 70TH PL, KIRKLAND, WA 98033-8571
(425) 576-5433
Mailing address
13116 NE 70TH PL, KIRKLAND, WA 98033-8571
(425) 576-5433
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU60584285
WA
225700000X
Massage Therapist
MA60313607
WA
Other
Enumeration date
04/19/2013
Last updated
08/27/2015
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