Individual
KIRSTEN GROHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1107 WEST BAY DR NW, SUITE 101, OLYMPIA, WA 98502-4668
(360) 490-5671
Mailing address
1107 WEST BAY DR NW, SUITE 101, OLYMPIA, WA 98502-4668
(360) 490-5671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011595
WA
Other
Enumeration date
03/08/2007
Last updated
06/26/2014
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