Individual
WILLIAM DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6302 S 238TH PL, APT U205, KENT, WA 98032
(318) 623-3563
Mailing address
6302 SOUTH 238TH PLACE, APT U205, KENT, WA 98032
(318) 623-3563
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
WA
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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