Individual
DAVID J NIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
Mailing address
15832 11TH AVE NE, SHORELINE, WA 98155-6302
(206) 631-9435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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