Individual
NORMA CARMONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2016 S. 320TH ST, K, FEDERAL WAY, WA 98003
(206) 592-2789
Mailing address
2016 S 320TH ST, K, FEDERAL WAY, WA 98003-5453
(206) 592-2789
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60043274
WA
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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