Individual
MRS. DENISE L MCENIRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
28610 MAPLE VALLEY BLACK DIAMOND RD SE STE 120, MAPLE VALLEY, WA 98038-8199
(206) 354-5300
(360) 886-1611
Mailing address
PO BOX 651, RAVENSDALE, WA 98051-0651
(206) 354-5300
(360) 886-1611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00003012
WA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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