Individual
DR. AUBREY KATHLEEN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
21827 76TH AVE W STE 202, EDMONDS, WA 98026-7981
(425) 835-0359
(425) 835-0821
Mailing address
21827 76TH AVE W STE 202, EDMONDS, WA 98026-7981
(425) 835-0359
(425) 835-0821
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT 60477240
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046966
—
WA
Enumeration date
08/30/2007
Last updated
08/24/2015
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