Individual
MRS. CARMON JEAN WALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
4814 BEACH DR SW, SEATTLE, WA 98116-4343
(206) 963-1028
Mailing address
4814 BEACH DR SW, SEATTLE, WA 98116-4343
(206) 963-1028
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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