Individual
KRISTINE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
32301 LYNCH LN, BLACK DIAMOND, WA 98010-9740
(253) 737-7621
Mailing address
32301 LYNCH LN, BLACK DIAMOND, WA 98010-9740
(253) 737-7621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60035114
WA
Other
Enumeration date
12/16/2008
Last updated
10/05/2012
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