Individual
DIONNA COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 DEXTER AVE N, SEATTLE, WA 98109-3518
(206) 497-4962
Mailing address
11314 25TH AVE NE, #314, SEATTLE, WA 98125-6666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 60420820
WA
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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