Individual
CINDY K LIEUALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1800 NW MARKET ST, SEATTLE, WA 98107-3900
(206) 781-9541
Mailing address
7713 23RD AVE NW, SEATTLE, WA 98117-4318
(206) 276-1056
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00011112
WA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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