Individual
KIMBERLY LAINE ROEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16626 6TH AVE W, G304, LYNNWOOD, WA 98037-8834
(206) 778-0276
Mailing address
16626 6TH AVE W, G304, LYNNWOOD, WA 98037-8834
(206) 778-0276
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00028174
WA
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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