Individual
CORRIE ELIZABETH AULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8013 NE 153RD PL, KENMORE, WA 98028-4690
(425) 270-1789
Mailing address
8013 NE 153RD PL, KENMORE, WA 98028-4690
(425) 270-1789
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
4931
WA
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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