Individual
CASSANDRA K HARWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
25658 104TH AVE SE, KENT, WA 98030-7610
(253) 852-2828
Mailing address
26117 197TH AVE SE, COVINGTON, WA 98042-5016
(253) 631-0576
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021049
WA
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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