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Individual

LYNNE B WALTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LMP

Contact information

Practice address
7003 SW 248TH ST, VASHON, WA 98070-8005
(206) 463-2709
Mailing address
7003 SW 248TH ST, VASHON, WA 98070-8005
(206) 463-2709

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00062664
CA
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MA00003845
WA

Other

Enumeration date
12/10/2012
Last updated
12/10/2012
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