Individual
MUGWAYAN CHANEYBELLE SWORDFISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9474 LATHROP INDUSTRIAL DR SW, TUMWATER, WA 98512-1109
(360) 583-3340
Mailing address
1405 10TH AVE SE, OLYMPIA, WA 98501-1754
(360) 688-6383
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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