Individual
MS. BONNIE RAE MATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4000 AURORA AVE N, SUITE 208, SEATTLE, WA 98103-7873
(425) 418-4520
Mailing address
4000 AURORA AVE N, SUITE 208, SEATTLE, WA 98103-7873
(425) 418-4520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60255411
WA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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