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Individual

CORRINNA WALTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1345 STILSON AVENUE SE, NORTH BEND, WA 98045
(425) 831-8300
Mailing address
1345 STILSON AVENUE SE, NORTH BEND, WA 98045

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
163WS0200X
WA

Other

Enumeration date
01/15/2013
Last updated
01/15/2013
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