Individual
KATY ANNE BUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
14313 NE 20TH AVE, SUITE A112, VANCOUVER, WA 98686-1487
(360) 574-9440
Mailing address
16407 NE UNION RD, RIDGEFIELD, WA 98642-5614
(360) 300-6129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024799
WA
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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