Individual
CHRISTINA NICOLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3701 HOADLY LOOP SE, TUMWATER, WA 98501-4143
(360) 480-0404
Mailing address
3701 HOADLY LOOP SE, TUMWATER, WA 98501-4143
(360) 480-0404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60179181
WA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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