Individual
NANCY ANNE KOTLARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
125 164TH ST SE, BOTHELL, WA 98012-5947
(425) 745-2311
(425) 745-2988
Mailing address
125 164TH ST SE, BOTHELL, WA 98012-5947
(425) 745-2311
(425) 745-2988
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00024036
WA
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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