Individual
DR. MARY AESOPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7420
(360) 923-7449
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7420
(360) 923-7449
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
406A
SD
Other
Enumeration date
07/25/2012
Last updated
03/07/2014
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